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General NPI Number Information
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NPI Number | 1235949645
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Entity Type | Organization
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Legal Business Name | MOBILE LABSBLOOD SERVICES LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2512 22ND ST W
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-5501
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Country | US
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Telephone | 239-483-5311
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Fax | 239-215-8496
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Provider Business Mailing Address
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Address Line | 2512 22ND ST W
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-5501
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Country | US
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Telephone | 239-483-5311
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Fax | 239-215-8496
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Authorized Official
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Title or Position | OWNER PHLEBOTOMY TECHNICIAN
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Name | YASMANI J ARBELO
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Credential |
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Telephone | 239-483-5311
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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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