Organization
WEST VIRGINIA LABORATORIES
Active
Other names
West Virginia Laboratories LLC, WV Labs
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHERY EZRA MAYNARD (PARTNER, OWNER)
(304) 400-6028
Entity
Organization
Contact information
Practice address
1740 UNION CARBIDE DR BLDG 740, SOUTH CHARLESTON, WV 25303-2732
(304) 400-6028
Mailing address
PO BOX 4816, CHARLESTON, WV 25364-4816
(304) 400-6028
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
02/17/2020
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