DR. LETITIA TIERNEY
NPI 1104559160
Internal Medicine in Charleston, WV

Active since July 07, 2022CLIA 51D0858267 · Microscopy
10 COURTNEY DR, CHARLESTON, WV 25304(304) 344-2345(304) 400-4645 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2022, Jul 7, 2022 (2 updates tracked since 2022).

About Dr. Letitia Tierney NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LETITIA TIERNEY (NPI 1104559160) is a healthcare organization registered as an internal medicine in Charleston, West Virginia and active in the NPI registry since July 2022. The organization holds a CLIA Microscopy certificate valid through August 31, 2026, maintains a secondary practice location in Charleston, and lists Letitia Elaine Tierney, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1104559160
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE LOT MD PLLC
Location Address10 COURTNEY DRCharleston, WV 25304-2699
Mailing Address10 Courtney DrCharleston, WV 25304-2699 · (304) 344-2345 · Fax (304) 400-4645
Fax(304) 400-4645
Organization SubpartYes
Authorized OfficialLetitia Elaine TierneySole Member · (304) 344-2345
Enumeration DateJuly 7, 2022
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
NPI 1104559160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10 COURTNEY DR, Charleston, WV 25304

Other Names 1

Doing Business AsDr. Letitia Tierney

Secondary Practice Location 1

Location 1331 Laidley St Ste 205Charleston, WV 25301-1605 · Phone (304) 344-2345 · Fax (304) 400-4645

Other Identifiers 1

Medicaid3810017636WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 51D0858267

Blue Lot MD PLLC Dba Dr Letitia Tierney · Charleston, WV
Active · expires Aug 31, 2026
CLIA Number51D0858267
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Letitia E. Tierney
Laboratory Phone(304) 344-2345
Laboratory LocationBlue Lot MD PLLC Dba Dr Letitia Tierney10 Courtney Drive, Charleston, WV 25304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
10 COURTNEY DR
CHARLESTON, WV 25304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Lot MD PLLC's NPI number?

The NPI number for Blue Lot MD PLLC is 1104559160. It was assigned to this organization in the NPPES registry on July 7, 2022. The provider is doing business as Dr. Letitia Tierney.

Where is Blue Lot MD PLLC located?

Blue Lot MD PLLC is located at 10 Courtney Dr, Charleston, WV 25304. The listed phone number is (304) 344-2345.

What is Blue Lot MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Blue Lot MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D0858267) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Lot MD PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Blue Lot MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Lot MD PLLC was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.