Medtest Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

51D2098204 Issued in WV

Legal business name

MEDTEST LABORATORIES LLC

Practice address

3860 Teays Valley Rd
Suite 2
Hurricane, WV 25526-9772

Phone

(304) 757-9982

Fax

(304) 945-9093

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

James Taylor Jr.

Title

Member

Phone

(405) 285-0102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Amjad, PHD

  • Clinical Medical Laboratory
  • Hurricane, WV
  • NPI 1265873608
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1821471319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 E 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135407",
            "telephone_number": "405-285-0102",
            "fax_number": "405-509-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 TEAYS VALLEY RD",
            "address_2": "SUITE 2",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269772",
            "telephone_number": "304-757-9982",
            "fax_number": "304-945-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEST LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-285-0102",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "51D2098204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany June McGuffin, DPT
• Corey Michael McKinney, PA-C
• Kenneth F McNeil, MD
• Madison Brooke McNicholas
• Katee McVey, LPC,NCC
• Benjamin Meek
• Catherine Menne
• Bethany K Merritt, FNP-BC
• Zachary Scott Merritt
• Stacy Messer

• Clinical Medical Laboratory in Hurricane, WV
• Providers in Hurricane, 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 Mar 13, 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.