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General NPI Number Information
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NPI Number | 1063376655
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Entity Type | Organization
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Legal Business Name | VENTURE DX LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 915 PINON RANCH VW STE 3
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City | COLORADO SPGS
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State | CO
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Zip | 80907-3578
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Country | US
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Telephone | 719-309-5362
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Fax | 720-358-0164
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Provider Business Mailing Address
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Address Line | 915 PINON RANCH VW STE 3
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City | COLORADO SPGS
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State | CO
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Zip | 80907-3578
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Country | US
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Telephone | 719-309-5362
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Fax | 720-358-0164
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Authorized Official
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Title or Position | OWNER
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Name | SYED WAJAHAT
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Credential | OWNER
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Telephone | 719-309-5362
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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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