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General NPI Number Information
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NPI Number | 1316344419
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Entity Type | Organization
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Legal Business Name | MEDICAL LABS AT HOME, INC.
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 5600 S WILLOW DR STE 203
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City | HOUSTON
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State | TX
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Zip | 77035-4700
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Country | US
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Telephone | 817-715-7414
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 S WILLOW DR STE 203
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City | HOUSTON
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State | TX
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Zip | 77035-4700
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Country | US
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Telephone | 817-715-7414
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EDMUND ALABI
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Credential |
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Telephone | 817-715-7414
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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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