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Contact Information

AG LAB SERVICE
137 LOG CANOE CIR
STEVENSVILLE, MD21666-2127
 Phone: 443-249-3405
 Fax: 443-249-3123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for AG LAB SERVICE

NPI # 1871355446
LBN Legal business name AG LAB SERVICE
Authorized official ATEEYA GRAY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2024
Last updated 02/19/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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