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General NPI Number Information
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NPI Number | 1033876982
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Entity Type | Organization
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Legal Business Name | SET LABS LLC
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Dates
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Enumeration Date | 11/25/2021
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 6725 MESA RIDGE RD STE 240
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City | SAN DIEGO
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State | CA
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Zip | 92121-2925
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Country | US
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Telephone | 858-472-5590
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Fax |
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Provider Business Mailing Address
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Address Line | 6725 MESA RIDGE RD STE 240
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City | SAN DIEGO
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State | CA
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Zip | 92121-2925
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Country | US
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Telephone | 858-472-5590
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. LOGANATHAN DORAISAMY
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Credential | PH.D
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Telephone | 858-472-5590
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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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