Antiviral Pharmacology Laboratory Inc
Organization Active NPI Clinical Medical Laboratory · Omaha, NE
NPI 1083920904 · NPPES record last updated Aug 30, 2010
Key facts
- NPI
- 1083920904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 06D1003719 (NE)
- Legal business name
- ANTIVIRAL PHARMACOLOGY LABORATORY INC
- Practice address
- 986045 Nebraska Medical Ctr
Room 4005/4007
Omaha, NE 68198-6045 - Phone
- (402) 218-0977
- NPI assigned
- Aug 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Umed Rakhmanov
- Title
- Ceo
- Phone
- (402) 218-0977
National Provider Directory
Locations
986045 Nebraska Medical Ctr
Rm 40054007
Omaha, NE 68198
Phone (402) 218-0977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 06D1003719 | NE | Yes |
Addresses
Primary practice location
986045 Nebraska Medical Ctr
Room 4005/4007
Omaha, NE 68198-6045
Mailing address
643 N 98TH St
Ste 294
Omaha, NE 68114-2370
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All providers in Omaha, NE · Clinical Medical Laboratory in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.