AV PRIME LAB LLC – NPI #1740307040
Specialist/Technologist, 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.

AV PRIME LAB LLC is a technologist located in PALMDALE, CA. NPPES has assigned the NPI number 1740307040 to AV PRIME LAB LLC on March 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246Q00000X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AV PRIME LAB LLC below.

NPI Profile for
AV PRIME LAB LLC

NPI Number
1740307040
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AV PRIME LAB LLC
Primary location
1220 EAST AVENUE S
SUITE L
PALMDALE, CA 93550
Phone: (661) 947-1288 Fax: (661) 947-1844
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICHOLAS LOMIBAO
CLIN LABORATORY SCIENTIST MANAGER
Phone: (661) 947-1288
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246Q00000X
- Specialist/Technologist, Pathology (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.