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General NPI Number Information
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NPI Number | 1184098063
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Entity Type | Organization
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Legal Business Name | OMNISEQ, INC.
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 700 ELLICOTT ST
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City | BUFFALO
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State | NY
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Zip | 14203-1102
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Country | US
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Telephone | 716-898-8591
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Fax | 716-898-8602
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Provider Business Mailing Address
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Address Line | 700 ELLICOTT ST
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City | BUFFALO
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State | NY
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Zip | 14203-1102
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Country | US
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Telephone | 716-898-8661
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Fax | 716-898-8602
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KIMBERLY T WILLIAMS
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Credential |
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Telephone | 336-436-5402
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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 | 33D2098748
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License Number State | NY
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