AG LAB SERVICE NPI 1871355446

NPI Information

  • NPI: 1871355446
  • Provider Name: AG LAB SERVICE
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Organization
  • CLIA Number: 21D2319601
  • Address: 137 LOG CANOE CIR
    STEVENSVILLE, MD
    ZIP 21666
  • Phone: (443) 249-3405

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NPI Details

AG LAB SERVICE is a phlebotomy technician pathology in Stevensville, MD. AG LAB SERVICE NPI is 1871355446. The provider is registered as an organization entity type.

The provider's business location address is:

137 LOG CANOE CIR
STEVENSVILLE, MD
ZIP 21666-127
Phone: (443) 249-3405
Fax: (443) 249-3123

The provider's authorized official is Ateeya Gray .
The authorized official title is Owner and has the following contact phone number (443) 249-3405.

The CLIA number assigned to this NPI record is 21D2319601 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2024 and was last updated on 2/19/2024.

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
1261QH0100XClinic/CenterHealth ServiceNo
2246RP1900XTechnician, PathologyPhlebotomyYes

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: 11/21/2025

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