NPIMap

Organization Active NPI

Advanced Vascular Labs, LLC

  • Diagnostic Ultrasound Physician
  • Columbus, OH
National Provider Identifier
1184072019
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
ADVANCED VASCULAR LABS, LLC
Practice address
1000 E Broad St
202
Columbus, OH 43205-1381
Phone
(614) 852-3378
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Branden Foust
Title
Owner/Director of Business Dev
Phone
(614) 852-3378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

1000 E Broad St
202
Columbus, OH 43205-1381

Mailing address

100 W 3Rd Ave Ste 150
Columbus, OH 43201-3260

National Provider Directory

National Provider Directory

Locations

1000 E Broad St
Ste 202
Columbus, OH 43205
Phone (614) 253-9600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1184072019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD AVE STE 150",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "address_2": "202",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051381",
            "telephone_number": "614-852-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VASCULAR LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "FOUST",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF BUSINESS DEV",
        "authorized_official_telephone_number": "614-852-3378"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.