Provider Demographics
NPI:1578381596
Name:AVR LAB SERVICES
Entity type:Organization
Organization Name:AVR LAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIMEN COLLECTOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-974-3344
Mailing Address - Street 1:6208 STORNOWAY DR. S.
Mailing Address - Street 2:
Mailing Address - City:COLUBMUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213
Mailing Address - Country:US
Mailing Address - Phone:614-974-3344
Mailing Address - Fax:614-417-1445
Practice Address - Street 1:6208 STORNOWAY DR. S.
Practice Address - Street 2:
Practice Address - City:COLUBMUS
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:614-974-3344
Practice Address - Fax:614-417-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory ManagementGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty