Active NPI
Appalachian Labs of WV LLC
- Clinical Medical Laboratory
- Charleston, WV
National Provider Identifier
1831674084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.wvapplabs.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191018001754 | WV | Part B Supplier - Independent Clinical Laboratory | 8224369459 | Practice locations: Charleston, 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 |
|---|---|---|---|
| 51D2160356 | Appalachian Labs of WV | Compliance | Nov 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.