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General NPI Number Information
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NPI Number | 1114948445
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Entity Type | Organization
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Legal Business Name | G MEDICAL DIAGNOSTIC SERVICES, INC.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 12708 RIATA VISTA CIR STE A103
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City | AUSTIN
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State | TX
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Zip | 78727-7174
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Country | US
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Telephone | 800-595-2898
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Fax | 512-212-9490
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Provider Business Mailing Address
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Address Line | PO BOX 2153 DEPT 1840
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City | BIRMINGHAM
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State | AL
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Zip | 35287-1840
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Country | US
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Telephone | 800-595-2898
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Fax | 888-965-7697
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Authorized Official
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Title or Position | DISTRIBUTION MANAGER
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Name | MR. TIM LOHMAN
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Credential |
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Telephone | 512-212-5508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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