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General NPI Number Information
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NPI Number | 1164760260
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Entity Type | Organization
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Legal Business Name | ECOCHECK LABORATORIES LLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 2925 W T C JESTER BLVD 15
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City | HOUSTON
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State | TX
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Zip | 77018-7061
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Country | US
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Telephone | 713-263-8582
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Fax | 713-688-5201
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Provider Business Mailing Address
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Address Line | 2925 W T C JESTER BLVD STE 10
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City | HOUSTON
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State | TX
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Zip | 77018-7050
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Country | US
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Telephone | 812-813-8640
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Fax | 138-959-9407
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Authorized Official
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Title or Position | DIRECTOR
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Name | FERNANDO JOSE ISART
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Credential |
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Telephone | 713-263-8582
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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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