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General NPI Number Information
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NPI Number | 1245198084
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN LABORATORIES LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 4150 FREIDRICH LN STE J
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City | AUSTIN
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State | TX
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Zip | 78744-1052
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Country | US
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Telephone | 801-310-4595
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Fax |
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Provider Business Mailing Address
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Address Line | 12217 S LONE PEAK PKWY
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City | DRAPER
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State | UT
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Zip | 84020-9449
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Country | US
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Telephone | 801-310-4595
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT WEISS
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Credential |
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Telephone | 801-310-4595
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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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