Active NPI
Central Labs Inc
- Clinical Medical Laboratory
- Pineville, WV
National Provider Identifier
1396840187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CENTRAL LABS INC
- Practice address
- 97 Main Ave
Pineville, WV 24874 - Phone
- (304) 732-9552
- Fax
- (304) 732-9218
- NPI assigned
- Sep 14, 2006
- Last updated
- Oct 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel A Muscari Jr., DO
- Title
- President
- Phone
- (304) 732-9552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
97 Main Ave
Pineville, WV 24874
Mailing address
PO Box 1150
Pineville, WV 24874-1150
Phone (304) 732-9552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0038488000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100524000013 | WV | Part B Supplier - Independent Clinical Laboratory | 5597894964 | Practice locations: Pineville, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D0898048 | Central Labs Inc | Compliance | Feb 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Mullens, WV
- NPI 1760721039
-
- Nurse Practitioner
- Pineville, WV
- NPI 1942673843
-
- Family Medicine Physician
- Pineville, WV
- NPI 1922624881
-
- Medical Physician Assistant
- Pineville, WV
- NPI 1558525774
-
- Family Nurse Practitioner
- Man, WV
- NPI 1700880762
-
- Family Medicine Physician
- Pineville, WV
- NPI 1295826576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351468800000",
"number": "1396840187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"city": "PINEVILLE",
"state": "WV",
"postal_code": "248741150",
"telephone_number": "304-732-9552",
"fax_number": "304-732-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 MAIN AVE",
"city": "PINEVILLE",
"state": "WV",
"postal_code": "24874",
"telephone_number": "304-732-9552",
"fax_number": "304-732-9218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL LABS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2012-10-29",
"status": "A",
"authorized_official_last_name": "MUSCARI",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-732-9552",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0038488000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.