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General NPI Number Information
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NPI Number | 1093619983
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Entity Type | Organization
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Legal Business Name | ABDA LABS LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 9888 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77036-8247
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Country | US
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Telephone | 202-948-9184
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Fax |
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Provider Business Mailing Address
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Address Line | 9888 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77036-8247
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Country | US
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Telephone | 202-948-9184
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JASON GOMEZ
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Credential |
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Telephone | 202-948-9184
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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 | NULL
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