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General NPI Number Information
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NPI Number | 1366487233
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Entity Type | Organization
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Legal Business Name | LENETIX MEDICAL SCREENING LABORATORY
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 174 MINEOLA BLVD STE 1
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City | MINEOLA
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State | NY
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Zip | 11501-2513
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Country | US
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Telephone | 516-248-0036
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Fax | 516-248-4436
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Provider Business Mailing Address
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Address Line | 174 MINEOLA BLVD STE 1
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City | MINEOLA
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State | NY
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Zip | 11501-2513
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Country | US
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Telephone | 516-248-0036
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Fax | 516-248-4436
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. LEONARD H KELLNER
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Credential | MS
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Telephone | 516-248-0036
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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 | NY
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