Mallard Medical Laboratory

LBN: Mallard Medical Services Inc
Mallard Medical Laboratory is an health care organization with primary practice located at 20 Mallard Ct , Beckley WV 25801-3615. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Mallard Medical Services Inc can be contacted via phone (304) 255-6651, or through Rasheed, Syed via phone (304) 255-6651.

Contact Information

Primary practice address
20 Mallard Ct Beckley WV 25801-3615
Phone: (304) 255-6651
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rasheed, Syed Doctor of Medicine (MD)
Phone: (304) 255-6651

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1548466295
LBN Legal business name Mallard Medical Services Inc
DBA Doing business as Mallard Medical Laboratory
Authorized official Rasheed, Syed Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 21st, 2007
Last updated Nov 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548466295 NPPES
West Virginia MEDICAID 5580091000
West Virginia Other 51D0235339

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