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General NPI Number Information
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NPI Number | 1376249185
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Entity Type | Organization
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Legal Business Name | QUIK DRIP DIAGNOSTICS LLC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 11555 HERON BAY BLVD STE 200
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3362
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Country | US
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Telephone | 954-603-6306
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Fax |
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Provider Business Mailing Address
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Address Line | 5045 NW 112TH WAY
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2775
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | MS. JONI LUNAN
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Credential |
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Telephone | 929-249-6834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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