PHA LAB SERVICES NPI 1629738091

NPI Information

NPI: 1629738091
Provider Name: PHA LAB SERVICES
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 36D2246072

Address:
4770 INDIANOLA AVE STE 101B
COLUMBUS, OH
ZIP 43214
Phone: (614) 601-6434
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PHA LAB SERVICES is a health service clinic center in Columbus, OH. PHA LAB SERVICES NPI is 1629738091. The provider is registered as an organization entity type.

The provider's business location address is:

4770 INDIANOLA AVE STE 101B
COLUMBUS, OH
ZIP 43214-876
Phone: (614) 601-6434

The provider's authorized official is Kara Clark .
The authorized official title is Part Owner and has the following contact phone number (614) 601-6434.

The CLIA number assigned to this NPI record is 36D2246072 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 12/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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