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NPI 1366352262

NPI 1366352262 : VELOCITY DIAGNOSTIC & TESTING : LAKE CITY, GA

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General NPI Number Information
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    NPI Number           |    1366352262
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    Entity Type          |    Organization 
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    Legal Business Name  |    VELOCITY DIAGNOSTIC & TESTING 
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Dates
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    Enumeration Date     |    09/11/2026
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    Last Update Date     |    09/11/2026
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Provider Practice Location Address
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    Address Line         |    1484 LAKE CITY INDUSTRIAL CT 
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    City                 |    LAKE CITY
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    State                |    GA
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    Zip                  |    30260-3544
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    Country              |    US
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    Telephone            |    470-491-2219
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1484 LAKE CITY INDUSTRIAL CT 
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    City                 |    LAKE CITY
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    State                |    GA
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    Zip                  |    30260-3544
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    Country              |    US
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    Telephone            |    470-491-2219
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING PARTNER
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    Name                 |     AMBER HOLLY REED-BUNCH 
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    Credential           |    CPT
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    Telephone            |    404-953-1928
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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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