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General NPI Number Information
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NPI Number | 1265532113
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Entity Type | Organization
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Legal Business Name | LABORATORY MEDICINE CONSULTANTS INC.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 9301 WILSHIRE BLVD STE 205
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-6110
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Country | US
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Telephone | 310-273-2124
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Fax | 310-273-1868
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Provider Business Mailing Address
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Address Line | 9301 WILSHIRE BLVD STE 205
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-6110
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Country | US
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Telephone | 310-273-2124
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Fax | 310-273-1868
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Authorized Official
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Title or Position | BILLING POSITION
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Name | KAREN REYES
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Credential |
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Telephone | 310-273-2124
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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 | CLF10547
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License Number State | CA
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