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General NPI Number Information
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NPI Number | 1003378951
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Entity Type | Organization
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Legal Business Name | T LAB INC
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 910 CLOPPER RD STE 220S
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1370
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Country | US
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Telephone | 240-696-2764
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Fax |
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Provider Business Mailing Address
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Address Line | 910 CLOPPER RD STE 220S
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1370
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Country | US
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Telephone | 240-696-2764
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Fax |
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | BOBAK ROBERT MOZAYENI
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Credential | MD
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Telephone | 240-696-2837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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