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General NPI Number Information
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NPI Number | 1073479655
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Entity Type | Organization
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Legal Business Name | MY PERSONAL PHLEBOTOMIST MOBILE LAB LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 215 HIGH STREET
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City | CHAPEL HILL
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State | TN
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Zip | 37034
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Country | US
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Telephone | 615-631-8781
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 MALLORY LN SUITE 290
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City | FRANKLIN
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State | TN
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Zip | 37067
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Country | US
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Telephone | 615-631-8781
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. DARCY LEIGH DEL RIVERO
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Credential |
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Telephone | 615-631-8781
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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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