ADVANCED VASCULAR LABS, LLC (NPI# 1184072019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184072019 |
| Entity Type | Organization |
| Organization Name | ADVANCED VASCULAR LABS, LLC |
| Practice Address |
1000 E Broad St 202 Columbus OH 43205-1381 |
| Mailing Address |
100 W 3rd Ave Ste 150 Columbus OH 43201-3260 |
| Practice Telephone | 6148523378 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | BRANDEN FOUST (OWNER/DIRECTOR OF BUSINESS DEV) |
| Authorized Official Telephone | 6148523378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| Street Address |
1000 E BROAD ST 202 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124017348 | John Petrie | Pharmacist | 1000 E Broad St, Columbus, OH 43205-1381 | 2005-10-20 |
| 1578020970 | Jocelyn Grace Walker | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2019-02-22 |
| 1922564608 | Kayla Nicole Perry | Pharmacy | 1000 E Broad St, Columbus, OH 43205-1381 | 2019-02-18 |
| 1811466014 | David Lee Cummings IIi | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2018-11-16 |
| 1962919340 | Von I Alvarado | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2018-01-07 |
| 1316484454 | Candy Smith | Pharmacy Technician | 1000 E Broad St, Columbus, OH 43205-1381 | 2017-01-27 |
| 1598201675 | Paul A. Renzetti | Physician Assistant | 1000 E Broad St, Columbus, OH 43205-1381 | 2017-01-12 |
| 1952843278 | Katherine Dumbaugh | Pharmacy Technician | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-11-17 |
| 1942742499 | Sangita K Patel | Pharmacist | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-11-15 |
| 1588115273 | Rxo, LLC | Family Medicine | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003861238 | Cardiovascular Ultrasound Services, Inc. | Radiology | 5212 W Broad St, Columbus, OH 43228-1642 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679746598 | Bennett and Associates | Radiology | 11500 Ruby Rd, Cambridge, OH 43725-9579 | 2008-04-11 |
| 1114919065 | Dvl Vascular Lab Inc | Radiology | 627 S Edwin C Moses Blvd, Suite 3h, Dayton, OH 45417-3461 | 2005-08-17 |
| 1316388267 | Prohealth Mobile X-ray LLC | Radiology | 12611 Eckel Junction Rd, Perrysburg, OH 43551-1304 | 2013-07-08 |
| 1538486055 | Physicians Choice Hospital - Fremont Physicians | Radiology | 2390 Enterprise St, Fremont, OH 43420-8507 | 2010-04-23 |
| 1184855694 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 20455 Lorain Rd, Cleveland, OH 44126-3494 | 2009-07-31 |
| 1174754683 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 19250 Bagley Rd, Cleveland, OH 44130-3347 | 2009-07-31 |
| 1780815209 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 8401 Mentor Ave, Mentor, OH 44060-5842 | 2009-07-31 |
| 1205957370 | Youngstown Associates In Radiology | Radiology | 25 N Canfield Niles Rd, Youngstown, OH 44515-2328 | 2007-04-03 |
| 1093846263 | Ultrasound and Echo Cardiogram Medical Diagnostics, Inc. | Radiology | 5594 State Route 7, Andover, OH 44003-0179 | 2007-03-08 |
| 1720017999 | Hillcrest Radiology Associates, Inc | Radiology | 6780 Mayfield Rd, Mayfield Hts, OH 44124-2203 | 2006-07-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.