Organization
APPALACHIAN LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T RICE MD (PRESIDENT)
(276) 783-5138
Entity
Organization
Contact information
Practice address
1128 SNIDER ST, MARION, VA 24354-4216
(276) 783-5138
Mailing address
PO BOX 409, BLUEFIELD, WV 24701-0409
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D0232506
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004980387
—
VA
01
—
065949
ANTHEM BCBS
VA
01
—
49D0232506
CLIA
—
01
—
CB4318
RAILROAD
—
Enumeration date
06/01/2005
Last updated
09/22/2009
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