MOUNTAIN STATE MEDICAL SPECIALTIES,INC.
NPI 1154747442
Clinical Medical Laboratory in Bridgeport, WV

Active since March 11, 2014CLIA 51D0720059 · Certificate of Compliance
120 MEDICAL PARK DR STE 101, BRIDGEPORT, WV 26330(304) 624-7200(304) 624-0026 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mountain State Medical Specialties,inc. NPPES

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

MOUNTAIN STATE MEDICAL SPECIALTIES,INC. (NPI 1154747442) is a healthcare organization registered as a clinical medical laboratory in Bridgeport, West Virginia and active in the NPI registry since March 2014. The organization holds a CLIA Certificate of Compliance certificate valid through February 5, 2028 and lists Evelyn Mcgee, Vp, as its authorized official.

NPPES Registry Identity

NPI1154747442
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMOUNTAIN STATE MEDICAL SPECIALTIES,INC.
Location Address120 MEDICAL PARK DR STE 101Bridgeport, WV 26330-9013
Mailing Address125 N 6th StClarksburg, WV 26301-2665 · (304) 624-7200 · Fax (304) 624-0026
Fax(304) 624-0026
Organization SubpartNo
Authorized OfficialEvelyn McgeeVp · (304) 624-7200
Enumeration DateMarch 11, 2014
NPI 1154747442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
120 MEDICAL PARK DR STE 101, Bridgeport, WV 26330

Other Identifiers 1

OtherMO 9307351WV · Ptan

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 of Compliance 51D0720059

Mountain State Medical Specialties, PLLC · Bridgeport, WV
Active · expires Feb 5, 2028
CLIA Number51D0720059
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorCharles B. Franz
Laboratory Phone(304) 624-7200
Laboratory LocationMountain State Medical Specialties, PLLC120 Medical Park Drive Suite 200, Bridgeport, WV 26330
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mountain State Medical Specialties,inc.'s NPI number?

The NPI number for Mountain State Medical Specialties,inc. is 1154747442. It was assigned to this organization in the NPPES registry on March 11, 2014.

Where is Mountain State Medical Specialties,inc. located?

Mountain State Medical Specialties,inc. is located at 120 Medical Park Dr Ste 101, Bridgeport, WV 26330. The listed phone number is (304) 624-7200.

What is Mountain State Medical Specialties,inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Mountain State Medical Specialties,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 51D0720059) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain State Medical Specialties,inc. was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.