AV PRIME LAB LLC (NPI# 1740307040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740307040 |
| Entity Type | Organization |
| Organization Name | AV PRIME LAB LLC |
| Practice Address |
1220 East Avenue S Suite L Palmdale CA 93550 |
| Practice Telephone | 6619471288 |
| Practice Fax Number | 6619471844 |
| Mailing Telephone | 6619471288 |
| Mailing Fax Number | 6619471844 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NICHOLAS MAGNO LOMIBAO (CLIN LABORATORY SCIENTIST MANAGER) |
| Authorized Official Telephone | 6619471288 |
| Authorized Official Credential | CLS MTA 33999 CA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Q00000X | Spec/Tech, Pathology | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1220 EAST AVENUE S SUITE L |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| Taxonomy Code | 246Q00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| (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 hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173688 | Saba Torabian | Spec/Tech, Pathology | 11642 Dawson Dr, Los Altos Hills, CA 94024-5115 | 2017-09-19 |
| 1467786384 | Qualtek Molecular Laboratories | Spec/Tech, Pathology | 6483 Calle Real, Suite A, Goleta, CA 93117 | 2009-09-24 |
| 1376640482 | Curtis Tague | Spec/Tech, Pathology | 118 E Airport Dr, Ste 201, San Bernardino, CA 92408-3472 | 2006-09-20 |
| 1083245765 | Sheryl Fleishman | Spec/Tech, Pathology | 1317 Del Norte Rd Ste 105, Camarillo, CA 93010-8600 | 2020-01-30 |
| 1255962932 | Erie Rose Patterson | Spec/Tech, Pathology | 1317 Del Norte Rd Ste 105, Camarillo, CA 93010-8600 | 2020-01-30 |
| 1548891229 | Sofia Kotian | Spec/Tech, Pathology | 1317 Del Norte Rd Ste 105, Camarillo, CA 93010-8600 | 2020-01-30 |
| 1750940607 | Stephanie Purmort | Spec/Tech, Pathology | 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | 2019-06-12 |
| 1679130470 | Aiste Markeviciute | Spec/Tech, Pathology | 1901 N Rice Ave Ste 170180, Oxnard, CA 93030-7912 | 2019-05-28 |
| 1740767896 | Whigmass D Abegaz | Spec/Tech, Pathology | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-07-22 |
| 1184092082 | Christian Deodel Ipapo | Spec/Tech, Pathology | 2801 Atlantic Ave, Pathology Department, Long Beach, CA 90806-1701 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.