Mountaineer Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOUNTAINEER LABORATORIES LLC

Practice address

1337 Virginia St E
Charleston, WV 25301-3011

Phone

(214) 888-6976

Fax

(888) 845-7740

NPI assigned

Feb 7, 2017

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Dixon

Title

Owner

Phone

(214) 888-6976

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1376081612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547964",
            "telephone_number": "214-888-6976",
            "fax_number": "888-845-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 VIRGINIA ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013011",
            "telephone_number": "214-888-6976",
            "fax_number": "888-845-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-888-6976"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountaineer Cardiology PLLC
• Mountaineer Family Medicine, Inc.
• Mountaineer Family Medicine, Inc.
• Mountaineer Homecare, LLC (Mountaineer HomeCare)
• Mountaineer Imaging Center
• Mountaineer Radiologists Inc
• Mountaineer Surgical Associates PLLC
• Mary Beth Mounts, LMT
• Tiffany Mounts, OCCUPATIONAL THERAPI
• Sanchita Mourya

• Clinical Medical Laboratory in Charleston, WV
• Providers in Charleston, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.