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General NPI Number Information
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NPI Number | 1235245291
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Entity Type | Organization
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Legal Business Name | OMNIPATHOLOGY SOLUTIONS MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 968 S FAIR OAKS AVE
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City | PASADENA
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State | CA
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Zip | 91105-2626
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Country | US
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Telephone | 626-744-5339
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Fax | 866-296-6833
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Provider Business Mailing Address
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Address Line | 968 S FAIR OAKS AVE
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City | PASADENA
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State | CA
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Zip | 91105-2626
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Country | US
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Telephone | 626-744-5339
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Fax | 866-296-6833
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | CLAIRE DAVID
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Credential |
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Telephone | 661-705-3441
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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 | CLF332126
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License Number State | CA
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