Organization
MOUNTAINEER LABORATORIES LLC
Active
Other names
Mountaineer Toxicology
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TODD BOWEN (OWNER)
(304) 593-1369
Entity
Organization
Contact information
Practice address
1410 JEFFERSON BLVD # B, POINT PLEASANT, WV 25550-1344
(304) 593-1369
Mailing address
3 PEBBLE LANE, POINT PLEASANT, WV 25550-0470
(304) 593-1369
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
01/10/2017
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