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General NPI Number Information
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NPI Number | 1194603001
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Entity Type | Organization
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Legal Business Name | CORE LAB ESSENTIALS LLC.
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 25807 WESTHEIMER PKWY STE 305
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City | KATY
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State | TX
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Zip | 77494-5342
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Country | US
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Telephone | 346-870-0145
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Fax | 713-583-5707
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Provider Business Mailing Address
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Address Line | 25807 WESTHEIMER PKWY STE 305
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City | KATY
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State | TX
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Zip | 77494-5342
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Country | US
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Telephone | 346-870-0145
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Fax | 713-583-5707
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Authorized Official
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Title or Position | CERTIFIED PHLEBOTOMY TECHNICIAN
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Name | ANTOINETTE LEVETTE' COBB
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Credential | CPT
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Telephone | 346-870-0145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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