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General NPI Number Information
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NPI Number | 1073304663
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Entity Type | Organization
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Legal Business Name | WILLIAMS 1STOP LABORATORY SERVICES, LLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 3225 KIRBY WHITTEN RD # 5
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City | BARTLETT
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State | TN
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Zip | 38134-2893
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Country | US
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Telephone | 870-635-5862
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Fax |
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Provider Business Mailing Address
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Address Line | 407 BALFOUR RD
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-1910
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Country | US
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Telephone | 870-519-6420
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASMINE MONIQUE WILLIAMS
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Credential |
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Telephone | 870-519-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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