Av Prime Lab Llc in Palmdale - Specialist/technologist, Pathology
Av Prime Lab Llc - NPI 1740307040
Av Prime Lab Llc is a Specialist/technologist, Pathology in Palmdale, California. Av Prime Lab Llc practices all healthcare services and medical treatments related to Specialist/technologist, Pathology. The NPI Number for Av Prime Lab Llc is 1740307040. The last update date is 2020-08-22.
Av Prime Lab Llc's current location address is 1220 East Avenue S, Palmdale, California. You can contact this provider via phone number 6619471288 and fax number 6619471844. The mailing address for Av Prime Lab Llc is 1220 East Avenue S, Palmdale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Av Prime Lab Llc |
|---|---|
| Address | 1220 East Avenue S, Palmdale, California |
| Phone Number | 6619471288 |
| Fax Number | 6619471844 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLIN LABOR |
|---|---|
| Authorized Official Name | Lomibao Magno Nicholas |
| Credentials | CLS MTA 33 |
| Telephone Number | 6619471288 |
NPI Number Detail
| NPI Number | 1740307040 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1220 East Avenue S |
|---|---|
| City | Palmdale |
| State | California (CA) |
| Post Code | 93550 |
| Phone Number | 6619471288 |
| Fax Number | 6619471844 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist/technologist, Pathology |
|---|---|
| Taxonomy | 246Q00000X |
|
Definition: (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of |
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What is the unique provider identifier assigned to Av Prime Lab Llc?
The Av Prime Lab Llc has been issued the NPI (National Provider Identifier) 1740307040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Av Prime Lab Llc?
The Av Prime Lab Llc is situated at 1220 East Avenue S, in the city of Palmdale, state of CA, with the zip code 93550.
What is Av Prime Lab Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Av Prime Lab Llc's area of specialization is Specialist/technologist, Pathology, and the corresponding taxonomy code that categorizes this field of practice is 246Q00000X.
On what date was the 1740307040 assigned to Av Prime Lab Llc?
The Av Prime Lab Llc was issued its 1740307040 on 2007-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Av Prime Lab Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Av Prime Lab Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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