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General NPI Number Information
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NPI Number | 1316255060
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Entity Type | Organization
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Legal Business Name | AIT LABORATORIES INC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 2265 EXECUTIVE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-4352
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Country | US
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Telephone | 317-756-7367
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Fax |
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Provider Business Mailing Address
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Address Line | 5868 E 71ST ST 228
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-4075
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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 | CEO
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Name | ROBERT T BAROWSKY
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Credential |
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Telephone | 317-756-7367
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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 | 15D0647225
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License Number State | IN
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