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General NPI Number Information
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NPI Number | 1285549279
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Entity Type | Organization
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Legal Business Name | MIMS EXPRESS LABS LLC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 905 W TAYLOR ST
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City | GRIFFIN
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State | GA
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Zip | 30223-2605
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Country | US
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Telephone | 678-972-0444
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Fax |
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Provider Business Mailing Address
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Address Line | 112 RAILROAD DR
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City | GRIFFIN
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State | GA
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Zip | 30224-7052
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Country | US
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Telephone | 470-497-4015
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN MIMS
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Credential | CPT
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Telephone | 678-972-0444
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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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