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General NPI Number Information
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NPI Number | 1104983733
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Entity Type | Organization
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Legal Business Name | ANALYTIC LAB SYSTEMS INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 1024 PIIKOI STREET PIIKOI MEDICAL BUILDING
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City | HONOLULU
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State | HI
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Zip | 96814-1925
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Country | US
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Telephone | 808-591-2844
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Fax | 808-591-2840
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Provider Business Mailing Address
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Address Line | 1024 PIIKOI STREET PIIKOI MEDICAL BUILDING
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City | HONOLULU
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State | HI
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Zip | 96814-1925
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Country | US
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Telephone | 808-591-2844
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Fax | 808-591-2840
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | STANLEY N OYAMA
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Credential | PH D
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Telephone | 808-591-2844
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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 | 12D0620951
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License Number State | HI
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