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General NPI Number Information
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NPI Number | 1194676528
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Entity Type | Organization
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Legal Business Name | INFORM DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 6240 SHILOH RD
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City | ALPHARETTA
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State | GA
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Zip | 30005-8347
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Country | US
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Telephone | 866-588-3280
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Fax | 972-767-0225
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Provider Business Mailing Address
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Address Line | 1111 S FREEPORT PKWY
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City | COPPELL
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State | TX
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Zip | 75019-4435
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Country | US
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Telephone | 866-588-3280
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Fax | 972-767-0225
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | JIAN XIE
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Credential |
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Telephone | 626-350-0537
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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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