Organization Active NPI

Appalachian Labs of WV LLC

  • Clinical Medical Laboratory
  • Charleston, WV
National Provider Identifier
1831674084
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
APPALACHIAN LABS OF WV LLC
Practice address
708 Bigley Ave.
Ste. a
Charleston, WV 25302-3357
Phone
(304) 303-2100
NPI assigned
Oct 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Joseph Reddy
Title
Partner
Phone
(304) 303-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

708 Bigley Ave.
Ste. a
Charleston, WV 25302-3357

Mailing address

708 Bigley Ave.
Ste. a
Charleston, WV 25302-3357
Phone (304) 306-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.wvapplabs.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191018001754 WV Part B Supplier - Independent Clinical Laboratory 8224369459 Practice locations: Charleston, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2160356Appalachian Labs of WV708 Bigley Ave, Charleston, WV 25302ComplianceNov 26, 2027

National Provider Directory

National Provider Directory

Locations

708 Bigley Ave
Charleston, WV 25302

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1831674084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BIGLEY AVE.",
            "address_2": "STE. A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023357",
            "telephone_number": "304-306-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 BIGLEY AVE.",
            "address_2": "STE. A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023357",
            "telephone_number": "304-303-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN LABS OF WV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-303-2100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.wvapplabs.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "708 Bigley Ave.",
            "address_2": "Ste. A",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253023357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.

Verify at the official NPI Registry.