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General NPI Number Information
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NPI Number | 1114697950
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Entity Type | Organization
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Legal Business Name | AML DIAGNOSTIC LABORATORY UTAH AMERILABS
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 4019 W 12600 S STE 200
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City | RIVERTON
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State | UT
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Zip | 84096-7406
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Country | US
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Telephone | 801-515-4114
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Fax | 385-274-0903
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Provider Business Mailing Address
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Address Line | 4019 W 12600 S STE 200
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City | RIVERTON
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State | UT
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Zip | 84096-7406
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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 | LAB DIRECTOR
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Name | ERIN KIRBY
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Credential | MS
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Telephone | 940-300-2725
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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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