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General NPI Number Information
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NPI Number | 1023439809
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY LABS INC.
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 17672 BEACH BLVD STE F
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6836
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Country | US
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Telephone | 714-894-1591
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Fax | 714-894-1590
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Provider Business Mailing Address
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Address Line | 17672 BEACH BLVD STE F
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6836
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Country | US
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Telephone | 714-894-1591
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Fax | 714-894-1590
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES MICHAEL RAMSEY
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Credential |
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Telephone | 714-894-1591
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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 | 05D2068755
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License Number State | CA
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