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General NPI Number Information
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NPI Number | 1033687116
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Entity Type | Organization
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Legal Business Name | PINNACLE LABORATORY SERVICES, LLC
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 1325 S EUGENE ST STE 204
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City | GREENSBORO
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State | NC
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Zip | 27406-1470
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Country | US
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Telephone | 336-689-8902
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Fax | 336-378-0180
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Provider Business Mailing Address
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Address Line | 1325 S EUGENE ST STE 204
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City | GREENSBORO
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State | NC
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Zip | 27406-1470
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Country | US
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Telephone | 336-689-8902
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Fax | 336-378-0180
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JAVONDELL STALLINGS
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Credential |
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Telephone | 336-689-8902
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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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