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General NPI Number Information
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NPI Number | 1053288787
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Entity Type | Organization
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Legal Business Name | VITAL TESTING LABS LLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 337 13TH ST STE 203
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City | OAKLAND
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State | CA
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Zip | 94612-3951
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Country | US
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Telephone | 510-481-0908
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Fax | 510-616-4126
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Provider Business Mailing Address
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Address Line | 4645 SPRINGLAKE DR
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City | SAN LEANDRO
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State | CA
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Zip | 94578-4834
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Country | US
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Telephone | 510-481-0908
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Fax | 510-616-4126
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MARVIN FINCH
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Credential |
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Telephone | 510-703-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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