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NPI 1245996610

NPI 1245996610 : EUROFINS NTD LLC : TUCKER, GA

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General NPI Number Information
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    NPI Number           |    1245996610
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    Entity Type          |    Organization 
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    Legal Business Name  |    EUROFINS NTD LLC 
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Dates
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    Enumeration Date     |    11/10/2021
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    Last Update Date     |    11/10/2021
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Provider Practice Location Address
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    Address Line         |    2460 MOUNTAIN INDUSTRIAL BLVD 
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    City                 |    TUCKER
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    State                |    GA
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    Zip                  |    30084-3812
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    Country              |    US
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    Telephone            |    470-378-2200
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    Fax                  |    470-378-2250
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Provider Business Mailing Address
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    Address Line         |    2460 MOUNTAIN INDUSTRIAL BLVD 
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    City                 |    TUCKER
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    State                |    GA
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    Zip                  |    30084-3812
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    Country              |    US
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    Telephone            |    470-378-2200
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    Fax                  |    470-378-2250
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     MATTHEW  URBANEK 
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    Credential           |    
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    Telephone            |    816-554-5111
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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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