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General NPI Number Information
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NPI Number | 1003904673
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Entity Type | Organization
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Legal Business Name | CORE ANALYTICS LABORATORY, LLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 14735 CALIFA ST
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City | VAN NUYS
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State | CA
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Zip | 91411-3107
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Country | US
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Telephone | 818-906-2614
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Fax |
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Provider Business Mailing Address
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Address Line | 14735 CALIFA ST
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City | VAN NUYS
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State | CA
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Zip | 91411-3107
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Country | US
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Telephone | 818-906-2614
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CARLOS RUIZ
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Credential |
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Telephone | 818-906-2614
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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 | CLF11367
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License Number State | CA
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