Organization
PHA LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA CLARK (PART OWNER)
(614) 601-6434
Entity
Organization
Contact information
Practice address
4770 INDIANOLA AVE STE 101B, COLUMBUS, OH 43214-1876
(614) 601-6434
Mailing address
4770 INDIANOLA AVE STE 101B, COLUMBUS, OH 43214-1876
(614) 601-6434
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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