OrganizationActive
Kanawha Surgicenter
NPI 1205933421 · Clinical Medical Laboratory · Charleston, WV
Kanawha Surgicenter is a Clinical Medical Laboratory organization in Charleston, WV (NPI 1205933421).
Provider details
- NPI number
- 1205933421
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Gorli Harish, Director(304) 925-6390
- License
- 10453 (WV)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4803 Maccorkle Ave Se
Charleston, WV 25304-1948
Phone: (304) 925-6390
Fax: (304) 925-7931
Street-level locationGet directions
Mailing address
4803 Maccorkle Ave Se
Charleston, WV 25304-1948
Other names (DBA / former)
- Former legal business name
- Kanawha Surgicenter Lab
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kanawha Surgicenter's NPI number?
- Kanawha Surgicenter's National Provider Identifier (NPI) is 1205933421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kanawha Surgicenter?
- Kanawha Surgicenter is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Kanawha Surgicenter located?
- Kanawha Surgicenter's practice location on file with NPPES is 4803 Maccorkle Ave Se, Charleston, WV 25304-1948.
- What is Kanawha Surgicenter's phone number?
- The practice phone number listed in the NPPES registry for Kanawha Surgicenter is (304) 925-6390.
- Who is the authorized official for Kanawha Surgicenter?
- The authorized official listed on Kanawha Surgicenter's NPPES record is Gorli Harish, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kanawha Surgicenter's NPI active?
- Yes — Kanawha Surgicenter's NPI (1205933421) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.