Organization
CENTRAL LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL A MUSCARI JR. DO (PRESIDENT)
(304) 732-9552
Entity
Organization
Contact information
Practice address
97 MAIN AVE, PINEVILLE, WV 24874
(304) 732-9552
(304) 732-9218
Mailing address
PO BOX 1150, PINEVILLE, WV 24874-1150
(304) 732-9552
(304) 732-9218
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038488000
—
WV
Enumeration date
09/14/2006
Last updated
10/29/2012
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