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General NPI Number Information
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NPI Number | 1245996412
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Entity Type | Organization
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Legal Business Name | MED RUSH CLINICAL LAB INC
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1631 RAND RD
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City | DES PLAINES
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State | IL
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Zip | 60016-3551
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Country | US
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Telephone | 773-942-6351
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Fax | 224-938-9223
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Provider Business Mailing Address
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Address Line | 1631 RAND RD
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City | DES PLAINES
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State | IL
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Zip | 60016-3551
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Country | US
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Telephone | 773-942-6351
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Fax | 224-938-9223
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | ALI PAREKH
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Credential |
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Telephone | 773-787-5378
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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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