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General NPI Number Information
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NPI Number | 1366207664
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Entity Type | Organization
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Legal Business Name | CARTER LABORATORIES
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 30 FAIRBANKS STE 114
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City | IRVINE
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State | CA
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Zip | 92618-1688
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Country | US
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Telephone | 949-988-2001
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Fax | 949-988-2002
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Provider Business Mailing Address
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Address Line | 30 FAIRBANKS STE 114
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City | IRVINE
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State | CA
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Zip | 92618-1688
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Country | US
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Telephone | 949-988-2001
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Fax | 949-988-2002
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Authorized Official
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Title or Position | DIRECTOR
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Name | ZIAD KALIOUNDJI
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Credential |
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Telephone | 310-994-9903
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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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