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General NPI Number Information
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NPI Number | 1346107950
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Entity Type | Organization
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Legal Business Name | YUMA ADVANCED LAB LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2415 S AVENUE A STE B
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City | YUMA
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State | AZ
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Zip | 85364-7356
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Country | US
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Telephone | 928-261-5063
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Fax | 928-344-8400
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Provider Business Mailing Address
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Address Line | 789 W 27TH ST
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City | YUMA
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State | AZ
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Zip | 85364-7207
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Country | US
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Telephone | 928-344-8400
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Fax | 928-344-8412
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Authorized Official
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Title or Position | MANAGER
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Name | RAMI OSMAN
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Credential |
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Telephone | 928-344-8400
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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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