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General NPI Number Information
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NPI Number | 1104578624
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Entity Type | Organization
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Legal Business Name | RAPID MOBILE LAB SOLUTIONS LLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 02/19/2022
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Provider Practice Location Address
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Address Line | 2186 ATKINS AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-5406
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Country | US
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Telephone | 216-860-6707
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Fax | 678-609-1425
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Provider Business Mailing Address
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Address Line | 6545 MARKET AVE N STE 100
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City | CANTON
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State | OH
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Zip | 44721-2430
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Country | US
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Telephone | 216-329-3551
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Fax | 678-609-1425
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | MISS FRATINA ROCHELLE BOATMAN
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Credential | RN
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Telephone | 216-329-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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