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General NPI Number Information
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NPI Number | 1366318859
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Entity Type | Organization
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Legal Business Name | CLINICAL LABORATORY SOLUTIONS, LLC (DBA PREVENTIAL)
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 4801 S CLIFF AVE STE 212 SUITE 212
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6954
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Country | US
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Telephone | 816-366-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 S CLIFF AVE STE 212
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6954
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Country | US
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Telephone | 816-366-7774
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Fax |
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Authorized Official
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Title or Position | CHIEF SCIENTIFIC OFFICER
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Name | CRISTIAN SAEZ
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Credential | PHD
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Telephone | 816-366-7774
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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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