Organization
MALLARD MEDICAL SERVICES INC
Active
Parent organization
MALLARD MEDICAL SERVICES INC
Other names
Mallard Medical Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
MALLARD MEDICAL SERVICES INC
Authorized official
DR. SYED RASHEED MD (PRESIDENT)
(304) 255-6651
Entity
Organization
Contact information
Practice address
20 MALLARD CT, BECKLEY, WV 25801-3615
(304) 255-6651
Mailing address
PO BOX 12, STANAFORD, WV 25927-0012
(304) 255-6651
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51D0235339
CLIA
WV
05
—
5580091000
—
WV
Enumeration date
06/21/2007
Last updated
11/02/2010
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