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General NPI Number Information
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NPI Number | 1073534145
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Entity Type | Organization
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Legal Business Name | BIO-TECH CLINICAL LABORATORIES, INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 9000 NW 15TH ST UNIT 1
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City | DORAL
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State | FL
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Zip | 33172-2909
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Country | US
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Telephone | 305-267-1220
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Fax | 786-388-8034
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Provider Business Mailing Address
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Address Line | 9000 NW 15TH ST UNIT 1
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City | DORAL
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State | FL
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Zip | 33172-2909
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Country | US
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Telephone | 305-267-1220
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Fax | 786-388-8034
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MR. CARLOS JESUS RODRIGUEZ
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Credential |
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Telephone | 305-367-1220
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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 | 800014740
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License Number State | FL
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