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General NPI Number Information
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NPI Number | 1023751633
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Entity Type | Organization
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Legal Business Name | ARISTOTLE DIAGNOSTIC LABORATORIES, LLC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1120 HOGAN LANE SUITE C
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City | CONWAY
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State | AR
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Zip | 72034
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Country | US
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Telephone | 855-941-5227
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Fax | 501-358-6806
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Provider Business Mailing Address
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Address Line | 1120 HOGAN LANE SUITE C
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City | CONWAY
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State | AR
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Zip | 72034
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Country | US
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Telephone | 501-504-6663
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Fax | 501-358-6806
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. MATTHEW ROBB GRICE
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Credential |
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Telephone | 501-504-6663
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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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