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General NPI Number Information
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NPI Number | 1003560624
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Entity Type | Organization
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Legal Business Name | RAPID HEALTHCARE LABORATORY LLC
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 881 E CHICAGO ST FL 2
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City | ELGIN
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State | IL
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Zip | 60120-6818
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Country | US
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Telephone | 815-362-4439
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Fax |
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Provider Business Mailing Address
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Address Line | 881 E CHICAGO ST FL 2
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City | ELGIN
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State | IL
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Zip | 60120-6818
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Country | US
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Telephone | 708-699-9237
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FNU MOHAMMED BASHEER ALI
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Credential |
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Telephone | 773-200-9827
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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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