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General NPI Number Information
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NPI Number | 1093656522
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Entity Type | Organization
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Legal Business Name | GILYARD MOBILE LABS LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 3432 HORSESHOE TRL
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2853
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Country | US
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Telephone | 706-325-4020
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Fax | 706-325-4020
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Provider Business Mailing Address
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Address Line | 3432 HORSESHOE TRL
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2853
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Country | US
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Telephone | 706-325-4020
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Fax | 706-325-4020
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Authorized Official
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Title or Position | OWNER
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Name | KEIMA GILYARD
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Credential | GILYARD
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Telephone | 706-325-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number |
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License Number State |
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