KANAWHA SURGICENTER
NPI 1205933421
Clinical Medical Laboratory in Charleston, WV

Active since September 20, 2006
4803 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-6390(304) 925-7931 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kanawha Surgicenter NPPES

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

KANAWHA SURGICENTER (NPI 1205933421), doing business as Kanawha Surgicenter Lab, is a healthcare organization registered as a clinical medical laboratory in Charleston, West Virginia and active in the NPI registry since September 2006. The organization lists Gorli Harish, Director, as its authorized official.

NPPES Registry Identity

NPI1205933421
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameKANAWHA SURGICENTER
Location Address4803 MACCORKLE AVE SECharleston, WV 25304-1948
Mailing Address4803 Maccorkle Ave SeCharleston, WV 25304-1948 · (304) 925-6390 · Fax (304) 925-7931
Fax(304) 925-7931
Organization SubpartNo
Authorized OfficialGorli HarishDirector · (304) 925-6390
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1205933421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in WV · 10453
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.

4803 MACCORKLE AVE SE, Charleston, WV 25304

Other Names 1

Former Legal Business NameKanawha Surgicenter Lab

Other Identifiers 2

Medicaid0009812000WV
Medicaid0038025000WV

Other Providers at the Same Location NPPES 2

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

Dental Hygienist
4803 MACCORKLE AVE SE
CHARLESTON, WV 25304
Specialist
4803 MACCORKLE AVE SE
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 Kanawha Surgicenter's NPI number?

The NPI number for Kanawha Surgicenter is 1205933421. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider was formerly known as Kanawha Surgicenter Lab.

Where is Kanawha Surgicenter located?

Kanawha Surgicenter is located at 4803 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-6390.

What is Kanawha Surgicenter's specialty?

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

When was this NPI record last updated?

The NPPES record for Kanawha Surgicenter was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.