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General NPI Number Information
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NPI Number | 1376944793
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Entity Type | Organization
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Legal Business Name | INTEGRITY LABORATORIES, LLC
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 830 CORRIDOR PARK BLVD STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37932-3753
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Country | US
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Telephone | 865-288-4435
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Fax | 865-288-4429
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Provider Business Mailing Address
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Address Line | 830 CORRIDOR PARK BLVD STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37932-3753
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Country | US
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Telephone | 865-288-4435
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIAN CLEVENGER
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Credential |
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Telephone | 844-658-5745
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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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