Provider Demographics
NPI:1144680885
Name:SALVEO DIAGNOSTICS INC
Entity type:Organization
Organization Name:SALVEO DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, LAB DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOEFNER
Authorized Official - Suffix:
Authorized Official - Credentials:MT, PHD, DABCC, FACB
Authorized Official - Phone:844-725-8365
Mailing Address - Street 1:8751 PARK CENTRAL DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227
Mailing Address - Country:US
Mailing Address - Phone:844-725-8365
Mailing Address - Fax:844-725-8363
Practice Address - Street 1:8751 PARK CENTRAL DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227
Practice Address - Country:US
Practice Address - Phone:844-725-8365
Practice Address - Fax:844-725-8363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
49D2072312291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory