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NPI Code Detail

MEDICARE: CHILDREN'S MEDICAL CENTER LABORATORY

MEDICARE: CHILDREN'S MEDICAL CENTER LABORATORY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1134342827
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S MEDICAL CENTER LABORATORY
Provider Business Mailing Address
First Line : 15 CLEVELAND AVE
Second Line : SUITE 14
City : MARTINSVILLE
State : VA
Zip : 24112-2937
Country : US
Telephone Number : 276-632-9714
Fax Number : 276-632-0620
Provider Business Practice Location Address
First Line : 15 CLEVELAND AVE
Second Line : SUITE 14
City : MARTINSVILLE
State : VA
Zip : 24112-2937
Country : US
Telephone Number : 276-632-9714
Fax Number : 276-632-0620
Authorized Official
Title or Position : LABORATORY DIRECTOR
Name : DR. DAVID W. SEAMON
Credential : M. D.
Telephone Number : 276-632-9714
Provider Enumeration Date : 04/11/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
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1679562102 — DR. JOHN J ENGEL MD
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1578552006 — DR. DAVID W SEAMON MD
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1972556959 — MRS. ESTHER C REYNOLDS LPC
Practice Location Address:
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Directions to “CHILDREN'S MEDICAL CENTER LABORATORY ” Practice Location

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