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General NPI Number Information
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NPI Number | 1194528430
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Entity Type | Organization
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Legal Business Name | MANHATTAN PATH LAB, LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 145 E 32ND ST GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10023-6066
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Country | US
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Telephone | 855-621-8250
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Fax | 253-777-9855
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Provider Business Mailing Address
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Address Line | 21 W END AVE APT 2007
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City | NEW YORK
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State | NY
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Zip | 10023-7976
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Country | US
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Telephone | 855-621-8250
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Fax | 253-777-9855
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Authorized Official
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Title or Position | CREDENTIALING
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Name | ETHNE NANCE
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Credential |
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Telephone | 253-777-9855
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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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