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General NPI Number Information
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NPI Number | 1306757760
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Entity Type | Organization
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Legal Business Name | ACCUPATH DIAGNOSTIC LABORATORIES INC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 5005 S 40TH ST STE 112
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City | PHOENIX
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State | AZ
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Zip | 85040-2969
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Country | US
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Telephone | 888-650-9991
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Fax | 888-804-0426
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Provider Business Mailing Address
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Address Line | 5005 S 40TH ST STE 112
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City | PHOENIX
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State | AZ
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Zip | 85040-2969
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Country | US
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Telephone | 888-650-9991
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Fax | 888-804-0426
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Authorized Official
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Title or Position | MANAGER
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Name | JOHN FEDRICK
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Credential |
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Telephone | 888-650-8119
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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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