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General NPI Number Information
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NPI Number | 1134377781
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Entity Type | Organization
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Legal Business Name | EUROFINS DIATHERIX LABORATORIES LLC
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 601 GENOME WAY SUITE 2100
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2910
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Country | US
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Telephone | 866-979-4242
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Fax | 256-327-0984
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Provider Business Mailing Address
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Address Line | 601 GENOME WAY SUITE 2100
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2910
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Country | US
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Telephone | 866-979-4242
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Fax | 256-327-0984
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Authorized Official
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Title or Position | CONTRACT PAYOR SPECIALIST
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Name | KRISTIN BEVERLY
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Credential |
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Telephone | 256-755-4292
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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 | L4557
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License Number State | AL
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