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General NPI Number Information
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NPI Number | 1245426121
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Entity Type | Organization
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Legal Business Name | PERFORMANCE LABS INC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 133 HOLIDAY COURT SUITE 111
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City | FRANKLIN
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State | TN
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Zip | 37067
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Country | US
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Telephone | 615-599-5766
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Fax | 615-595-1048
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Provider Business Mailing Address
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Address Line | 2020 FIELDSTONE PKWY SUITE 900
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City | FRANKLIN
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State | TN
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Zip | 37069-4337
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES B REINHARDT
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Credential |
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Telephone | 615-456-2888
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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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