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General NPI Number Information
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NPI Number | 1114469236
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Entity Type | Organization
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Legal Business Name | LABORATORY PROS LLC
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 1701 GREEN RD SUITE C-2
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City | POMPANO BEACH
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State | FL
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Zip | 33064-1074
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Country | US
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Telephone | 754-220-5049
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 GREEN RD SUITE C-2
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City | POMPANO BEACH
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State | FL
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Zip | 33064-1074
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO OF MANAGEMENT COMPANY
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Name | STELIOS FINDRILAKIS
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Credential |
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Telephone | 754-222-5009
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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 |
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