Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Av Prime Lab LLC

Organization Pathology Specialist/Technologist · NPI 1740307040

Av Prime Lab LLC is a Pathology Specialist/Technologist in Palmdale, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1220 E Ave S Ste L
Palmdale, CA 93550
Phone: (661) 947-1288
Fax: (661) 947-1844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pathology Specialist/Technologist (primary) Taxonomy 246Q00000X (CA)

Record details

NPI number1740307040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Lomibao — Clin Laboratory Scientist Manager · (661) 947-1288
NPI enumeratedMarch 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1220 East Avenue S, Suite L, Palmdale, CA 93550