Healthcare Provider Details

I. General information

NPI: 1871663799
Provider Name (Legal Business Name): ANALABS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 DAYTON STREET
CRAB ORCHARD WV
25827
US

IV. Provider business mailing address

PO BOX 1235
CRAB ORCHARD WV
25827-1235
US

V. Phone/Fax

Practice location:
  • Phone: 304-255-4821
  • Fax: 304-255-2410
Mailing address:
  • Phone: 304-255-4821
  • Fax: 304-255-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateWV

VIII. Authorized Official

Name: MS. KELLI LEIGH HARRISON
Title or Position: VICE PRESIDENT
Credential:
Phone: 304-255-4821