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General NPI Number Information
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NPI Number | 1225110497
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Entity Type | Organization
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Legal Business Name | ACCU REFERENCE MEDICAL LAB, LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1901 E LINDEN AVE SUITE 4
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City | LINDEN
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State | NJ
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Zip | 07036
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Country | US
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Telephone | 908-474-1004
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Fax | 908-474-0032
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Provider Business Mailing Address
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Address Line | 1901 E LINDEN AVE SUITE 4
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City | LINDEN
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State | NJ
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Zip | 07036-1114
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Country | US
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Telephone | 908-474-1004
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Fax | 908-474-0032
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Authorized Official
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Title or Position | CCO
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Name | LUZ BAGLEY
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Credential |
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Telephone | 908-474-1004
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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 | 00006645
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License Number State | NJ
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