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General NPI Number Information
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NPI Number | 1336009778
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Entity Type | Organization
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Legal Business Name | ACME DIAGNOSTIC LABORATORY INC.
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1421 LUISA ST STE J
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City | SANTA FE
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State | NM
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Zip | 87505-4073
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Country | US
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Telephone | 505-982-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 LUISA ST STE J
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City | SANTA FE
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State | NM
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Zip | 87505-4073
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Country | US
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Telephone | 505-570-5570
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | DR. JOHN CASKEY
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Credential | MD
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Telephone | 505-982-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2279P1006X
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Taxonomy Name | Pulmonary Function Technologist Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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