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General NPI Number Information
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NPI Number | 1376966465
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Entity Type | Organization
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Legal Business Name | INTEGRATED LAB SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 9051 EXECUTIVE PARK DR
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City | KNOXVILLE
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State | TN
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Zip | 37923-4606
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Country | US
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Telephone | 317-319-3951
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Fax |
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Provider Business Mailing Address
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Address Line | 9051 EXECUTIVE PARK DR
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City | KNOXVILLE
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State | TN
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Zip | 37923-4606
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Country | US
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Telephone | 317-319-3951
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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 | DR. ALAN K GALLOWAY
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Credential | M.D.
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Telephone | 865-329-8833
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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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