Provider Demographics
NPI:1891397881
Name:ADVANCED CLIENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED CLIENT SOLUTIONS, LLC
Other - Org Name:LABS ON SITE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:D
Authorized Official - Middle Name:
Authorized Official - Last Name:MARHANKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-301-0902
Mailing Address - Street 1:4208 EXECUTIVE CENTRE PARKWAY LOOP N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6417
Mailing Address - Country:US
Mailing Address - Phone:573-301-0902
Mailing Address - Fax:888-535-8328
Practice Address - Street 1:4208 EXECUTIVE CENTRE PARKWAY LOOP N
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6417
Practice Address - Country:US
Practice Address - Phone:573-301-0902
Practice Address - Fax:888-535-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty