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General NPI Number Information
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NPI Number | 1134819832
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Entity Type | Organization
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Legal Business Name | LAB QUEST FLORIDA LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 1 S SCHOOL AVE STE 900
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City | SARASOTA
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State | FL
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Zip | 34237-6045
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Country | US
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Telephone | 941-306-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 1 S SCHOOL AVE STE 900
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City | SARASOTA
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State | FL
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Zip | 34237-6045
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Country | US
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Telephone | 941-306-3103
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HUMAN RESOURCES
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Name | LISA MCCREIGHT
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Credential |
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Telephone | 989-233-7504
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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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