Organization
ADVANCED VASCULAR LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDEN FOUST (OWNER/DIRECTOR OF BUSINESS DEV)
(614) 852-3378
Entity
Organization
Contact information
Practice address
1000 E BROAD ST, 202, COLUMBUS, OH 43205-1381
(614) 852-3378
Mailing address
100 W 3RD AVE STE 150, COLUMBUS, OH 43201-3260
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
10/11/2016
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