Provider Demographics
NPI:1437679180
Name:POLARIS LABORATORIES LLC
Entity Type:Organization
Organization Name:POLARIS LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESKENDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GETACHEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-255-6380
Mailing Address - Street 1:2694 SAWBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1821
Mailing Address - Country:US
Mailing Address - Phone:614-553-7600
Mailing Address - Fax:614-854-0302
Practice Address - Street 1:2694 SAWBURY BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1821
Practice Address - Country:US
Practice Address - Phone:614-553-7600
Practice Address - Fax:614-854-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory