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General NPI Number Information
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NPI Number | 1386809051
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Entity Type | Organization
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Legal Business Name | LAB EXPRESS INC
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 3305 E GREENWAY RD STE 9
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City | PHOENIX
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State | AZ
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Zip | 85032-4509
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Country | US
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Telephone | 602-923-0704
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Fax | 602-923-0704
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Provider Business Mailing Address
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Address Line | 505 W MCDOWELL RD STE A
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City | PHOENIX
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State | AZ
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Zip | 85003-1259
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Country | US
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Telephone | 602-273-9000
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Fax | 602-252-0006
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. SCOTT M FARRELL
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Credential |
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Telephone | 602-273-9000
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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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