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NPI 1265732663

NPI 1265732663 : ACCURATE LAB SERVICES, LLC. : COLLEYVILLE, TX

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General NPI Number Information
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    NPI Number           |    1265732663
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCURATE LAB SERVICES, LLC. 
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Dates
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    Enumeration Date     |    11/01/2010
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    Last Update Date     |    01/20/2011
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Provider Practice Location Address
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    Address Line         |    7155 COLLEYVILLE BLVD SUITE 102
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-8003
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    Country              |    US
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    Telephone            |    817-421-4400
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    Fax                  |    817-416-1451
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Provider Business Mailing Address
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    Address Line         |    7155 COLLEYVILLE BLVD SUITE 102
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-8003
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    Country              |    US
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    Telephone            |    817-421-4400
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    Fax                  |    817-416-1451
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. FE  IMUS 
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    Credential           |    
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    Telephone            |    682-559-8711
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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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