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General NPI Number Information
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NPI Number | 1114483484
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Entity Type | Organization
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Legal Business Name | INDY HEALTH LABS LLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/27/2022
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Provider Practice Location Address
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Address Line | 4118 FRANKLIN RD SW STE A
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City | ROANOKE
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State | VA
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Zip | 24014-5232
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Country | US
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Telephone | 540-682-2160
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Fax | 540-206-2324
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Provider Business Mailing Address
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Address Line | 4118 FRANKLIN RD SW STE A
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City | ROANOKE
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State | VA
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Zip | 24014-5232
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Country | US
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Telephone | 540-682-2160
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Fax | 540-206-2324
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT LOVETTE PRESSLEY JR.
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Credential |
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Telephone | 256-797-6436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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