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General NPI Number Information
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NPI Number | 1063304467
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Entity Type | Organization
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Legal Business Name | VERIGENIX LABS
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 2715 MACKEY PL STE 138
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City | SHREVEPORT
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State | LA
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Zip | 71118-2528
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Country | US
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Telephone | 513-669-7125
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Fax |
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Provider Business Mailing Address
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Address Line | 6566 N LIBERTY ST
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City | KEITHVILLE
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State | LA
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Zip | 71047-9220
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Country | US
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Telephone | 513-669-7125
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. KEVIN D ROGERS
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Credential |
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Telephone | 513-669-7125
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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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