# ADVANCED VASCULAR LABS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184072019
- **Authorized official:** BRANDEN FOUST (OWNER/DIRECTOR OF BUSINESS DEV)
- **Authorized official phone:** (614) 852-3378

## Contact information

- **Practice address:** 1000 E BROAD ST, 202, COLUMBUS, OH 43205-1381
- **Practice address phone:** (614) 852-3378
- **Mailing address:** 100 W 3RD AVE STE 150, COLUMBUS, OH 43201-3260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 10/11/2016