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General NPI Number Information
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NPI Number | 1396131116
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Entity Type | Organization
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Legal Business Name | ALPHA LABS, INC.
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 1025 WATERMAN AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1314
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Country | US
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Telephone | 317-733-9454
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Fax |
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Provider Business Mailing Address
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Address Line | 5635 W 96TH ST SUITE 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-6011
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Country | US
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Telephone | 317-733-9454
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VIPIN ADHLAKHA
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Credential |
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Telephone | 317-733-9454
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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 | RI
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