Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanawha Surgicenter

Organization Clinical Medical Laboratory · NPI 1205933421

Kanawha Surgicenter is a Clinical Medical Laboratory in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006

Practice location Address checks out

4803 Maccorkle Ave SE
Charleston, WV 25304-1948
Phone: (304) 925-6390
Fax: (304) 925-7931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 10453 (WV)

Record details

NPI number1205933421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gorli Harish — Director · (304) 925-6390
Other names Kanawha Surgicenter Lab
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4803 Maccorkle Ave Se, Charleston, WV 25304-1948

Other providers in Charleston