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General NPI Number Information
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NPI Number | 1306867981
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Entity Type | Organization
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Legal Business Name | BIOMEDICAL LABORATORIES
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 480 WASHINGTON ST
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City | BRIGHTON
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State | MA
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Zip | 02135-2655
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Country | US
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Telephone | 617-783-0600
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Fax | 617-783-0602
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Provider Business Mailing Address
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Address Line | 480 WASHINGTON ST
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City | BRIGHTON
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State | MA
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Zip | 02135-2655
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Country | US
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Telephone | 617-783-0600
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Fax | 617-783-0602
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. APPU K. PILLAI
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Credential | PHD
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Telephone | 617-783-0600
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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 | 2427
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License Number State | MA
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