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General NPI Number Information
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NPI Number | 1083024061
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Entity Type | Organization
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Legal Business Name | AVERTEST LLC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 601 LAMBERT POINTE DR
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City | HAZELWOOD
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State | MO
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Zip | 63042-2697
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Country | US
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Telephone | 866-680-3106
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Fax | 804-362-0444
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Provider Business Mailing Address
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Address Line | 2400 OLD BRICK RD STE 142
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City | GLEN ALLEN
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State | VA
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Zip | 23060-5841
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Country | US
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Telephone | 866-680-3106
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Fax | 804-362-0444
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Authorized Official
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Title or Position | ACCOUNTING MANAGER
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Name | LYNN GENTRY
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Credential |
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Telephone | 804-908-1439
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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 | 26D2037986
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License Number State | MO
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