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General NPI Number Information
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NPI Number | 1265324255
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Entity Type | Organization
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Legal Business Name | ACCUSTAT MOBILE LABS
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 792 NW 170TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2120
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Country | US
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Telephone | 305-771-1977
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Fax | 305-771-1977
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Provider Business Mailing Address
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Address Line | 792 NW 170TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2120
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Country | US
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Telephone | 305-771-1977
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Fax | 305-771-1977
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Authorized Official
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Title or Position | OWNER/PHLEBOTOMIST
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Name | PATRICIA MEDINA
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Credential | PHB
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Telephone | 786-781-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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