Provider Demographics
NPI:1346993748
Name:ATHARI BIOSCIENCES, INC.
Entity Type:Organization
Organization Name:ATHARI BIOSCIENCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-236-1538
Mailing Address - Street 1:45925 HORSESHOE DR STE 170
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6609
Mailing Address - Country:US
Mailing Address - Phone:703-444-8000
Mailing Address - Fax:
Practice Address - Street 1:45925 HORSESHOE DR STE 170
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6609
Practice Address - Country:US
Practice Address - Phone:703-444-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory