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General NPI Number Information
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NPI Number | 1255479770
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Entity Type | Organization
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Legal Business Name | UNILAB CORPORATION
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 901 CAMPUS DR SUITE 103
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City | DALY CITY
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State | CA
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Zip | 94015-4900
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Country | US
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Telephone | 650-997-4851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 515004
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City | SACRAMENTO
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State | CA
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Zip | 95851-5004
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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 | VP OF BILLING
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Name | G SCOTT CARTIER
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Credential |
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Telephone | 484-676-7000
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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 | CA
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