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General NPI Number Information
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NPI Number | 1316801293
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Entity Type | Organization
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Legal Business Name | DMLT LAB LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 607 CHARTIERS AVE
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-3846
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Country | US
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Telephone | 859-310-0787
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Fax |
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Provider Business Mailing Address
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Address Line | 607 CHARTIERS AVE
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-3846
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Country | US
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Telephone | 859-310-0787
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MANOJKUMAR N DESAI
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Credential | DIRECTOR
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Telephone | 859-310-0787
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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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