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General NPI Number Information
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NPI Number | 1295668267
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Entity Type | Organization
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Legal Business Name | GREATER LABORATORY LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 5425 NEWTON RD STE 4
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City | ALBANY
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State | GA
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Zip | 31701-7405
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Country | US
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Telephone | 229-310-9479
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Fax | 229-518-2489
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Provider Business Mailing Address
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Address Line | 5425 NEWTON RD STE4
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City | ALBANY
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State | GA
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Zip | 31701
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Country | US
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Telephone | 229-310-9479
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Fax | 229-518-2489
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Authorized Official
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Title or Position | OWNER
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Name | SHWANA L JAY
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Credential |
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Telephone | 229-310-9479
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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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