KANAWHA SURGICENTER (NPI# 1205933421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205933421 |
| Entity Type | Organization |
| Organization Name | KANAWHA SURGICENTER |
| Other Organization Name | KANAWHA SURGICENTER LAB |
| Practice Address |
4803 Maccorkle Ave Se Charleston WV 25304-1948 |
| Practice Telephone | 3049256390 |
| Practice Fax Number | 3049257931 |
| Mailing Telephone | 3049256390 |
| Mailing Fax Number | 3049257931 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GORLI HARISH (DIRECTOR) |
| Authorized Official Telephone | 3049256390 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 10453 | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0009812000 | 05 | |
| WV | 0038025000 | 05 |
| Other Name | Type Code |
|---|---|
| Kanawha Surgicenter Lab | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619038676 | Kanawha Surgicenter | Specialist | 4803 Maccorkle Ave Se, Charleston, WV 25304-1948 | 2006-12-13 |
| Street Address |
4803 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073829412 | Wecare Medical LLC | Durable Medical Equipment & Medical Supplies | 4803 Maccorkle Ave Se, Charleston, WV 25304-1948 | 2010-08-24 |
| 1619038676 | Kanawha Surgicenter | Specialist | 4803 Maccorkle Ave Se, Charleston, WV 25304-1948 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558976100 | Enmed Microanalytics, Inc | Clinical Medical Laboratory | 645 Meeting St Ste 2, Charleston, SC 29403-4277 | 2020-09-10 |
| 1831674084 | Appalachian Labs of Wv LLC | Clinical Medical Laboratory | 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 | 2018-10-03 |
| 1174009245 | Vikor Scientific, LLC | Clinical Medical Laboratory | 22 Westedge St., Suite 800, Charleston, SC 29403-2940 | 2018-07-12 |
| 1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
| 1437605615 | Phi Life Sciences LLC | Clinical Medical Laboratory | 645 Meeting St, Suite 3, Charleston, SC 29403-4279 | 2016-08-29 |
| 1992998157 | Iverson Genetic Diagnostics, Inc. | Clinical Medical Laboratory | 645 Meeting Street, Charleston, SC 29403 | 2007-08-21 |
| 1699873240 | Integrated Health Care Providers, Inc. | Clinical Medical Laboratory | 830 Pennsylvania Ave Ste 205, Charleston, WV 25302-3389 | 2006-09-20 |
| 1891770806 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 120 Hills Plz, Charleston, WV 25387-2438 | 2005-12-13 |
| 1184288623 | Msrc, LLC | Clinical Medical Laboratory | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2019-04-30 |
| 1194294587 | Msrc, LLC | Clinical Medical Laboratory | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2018-11-15 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.