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General NPI Number Information
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NPI Number | 1194769497
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Entity Type | Organization
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Legal Business Name | CLINICAL PATHOLOGY LABORATORIES, INC.
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 9200 WALL ST
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City | AUSTIN
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State | TX
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Zip | 78754-4534
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Country | US
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Telephone | 512-339-1275
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Fax | 512-873-5069
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Provider Business Mailing Address
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Address Line | 9200 WALL ST
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City | AUSTIN
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State | TX
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Zip | 78754-4534
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Country | US
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Telephone | 512-339-1275
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Fax | 512-873-5069
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK SILBERMAN
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Credential | MD
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Telephone | 512-498-2105
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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 | 45D0505003
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License Number State | TX
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