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General NPI Number Information
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NPI Number | 1346774023
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Entity Type | Organization
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Legal Business Name | CARDIO LAB SOLUTIONS
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 909 HIOAKS RD SUITE D
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City | RICHMOND
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State | VA
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Zip | 23225-4038
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Country | US
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Telephone | 804-292-0968
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Fax |
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Provider Business Mailing Address
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Address Line | 909 HIOAKS RD SUITE D
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City | RICHMOND
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State | VA
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Zip | 23225-4038
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Country | US
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Telephone | 804-292-0968
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | MR. LARRY DENSON JR.
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Credential | RCS
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Telephone | 804-292-0968
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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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