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General NPI Number Information
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NPI Number | 1306125778
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Entity Type | Organization
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Legal Business Name | INTEGRATED LABS
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2020 8TH AVE STE 218
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City | WEST LINN
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State | OR
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Zip | 97068-4657
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Country | US
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Telephone | 503-908-1339
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 8TH AVE STE 218
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City | WEST LINN
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State | OR
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Zip | 97068-4657
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Country | US
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Telephone | 503-908-1339
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STANLEY R MORSE
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Credential |
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Telephone | 425-354-0904
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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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