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General NPI Number Information
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NPI Number | 1215809413
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Entity Type | Organization
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Legal Business Name | MEDIWELL LAB CORPORATION
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 5005 W ROYAL LN STE 250
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City | IRVING
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State | TX
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Zip | 75063-1961
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Country | US
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Telephone | 945-342-8624
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 W ROYAL LN STE 250 250
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City | IRVING
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State | TX
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Zip | 75063-1961
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Country | US
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Telephone | 945-221-7760
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Fax | 945-262-6051
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Authorized Official
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Title or Position | DIRECTOR
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Name | PIYUSH ARUN PATIL
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Credential | MD
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Telephone | 945-342-8624
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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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