Provider Demographics
NPI:1891468203
Name:AVROK BIOSCIENCES, LLC
Entity Type:Organization
Organization Name:AVROK BIOSCIENCES, LLC
Other - Org Name:INVENIO LABORATORIES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-280-8485
Mailing Address - Street 1:1321 MOUNTAIN VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-1649
Mailing Address - Country:US
Mailing Address - Phone:818-280-8485
Mailing Address - Fax:
Practice Address - Street 1:1321 MOUNTAIN VIEW CIR
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-1649
Practice Address - Country:US
Practice Address - Phone:818-280-8485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory