OrganizationActive
Av Prime Lab LLC
NPI 1740307040 · Pathology Specialist/Technologist · Palmdale, CA
Provider details
- NPI number
- 1740307040
- Entity type
- Organization
- Primary specialty
- Pathology Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Nicholas Lomibao, Clin Laboratory Scientist Manager(661) 947-1288
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1220 East Avenue S
Suite L
Palmdale, CA 93550
Phone: (661) 947-1288
Fax: (661) 947-1844
Approximate (ZIP-level) locationGet directions
Mailing address
1220 East Avenue S
Palmdale, CA 93550
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.