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General NPI Number Information
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NPI Number | 1235930108
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Entity Type | Organization
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Legal Business Name | DIAMED LABORATORY SERVICES INC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 8162 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4806
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Country | US
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Telephone | 818-510-3736
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Fax | 818-510-3747
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Provider Business Mailing Address
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Address Line | 8162 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4806
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Country | US
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Telephone | 818-510-3736
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Fax | 818-510-3747
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA SHEYNIS
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Credential |
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Telephone | 818-510-3734
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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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