Organization
ANTIVIRAL PHARMACOLOGY LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMED RAKHMANOV (CEO)
(402) 218-0977
Entity
Organization
Contact information
Practice address
986045 NEBRASKA MEDICAL CTR, ROOM 4005/4007, OMAHA, NE 68198-6045
(402) 218-0977
Mailing address
643 N 98TH ST, STE 294, OMAHA, NE 68114-2370
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
06D1003719
NE
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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