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General NPI Number Information
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NPI Number | 1356934434
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Entity Type | Organization
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Legal Business Name | KORE LAB SOLUTIONS LLC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 8787 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66212-2058
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Country | US
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Telephone | 913-499-7780
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Fax | 913-499-8356
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Provider Business Mailing Address
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Address Line | 8787 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66212-2058
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Country | US
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Telephone | 913-850-9752
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Fax | 913-499-8356
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Authorized Official
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Title or Position | DIRECTOR, QUALITY COMPLIANCE
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Name | MARVIN J BRADFORD
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Credential | MA
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Telephone | 913-850-9752
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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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