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General NPI Number Information
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NPI Number | 1295026938
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Entity Type | Organization
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Legal Business Name | NANTHEALTH LABS, INC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 9922 JEFFERSON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232
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Country | US
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Telephone | 844-282-3362
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Fax |
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Provider Business Mailing Address
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Address Line | 9920 JEFFERSON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-3506
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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 | BILLING SUPERVISOR
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Name | ROXANA MENDOZA
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Credential |
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Telephone | 310-853-7652
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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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