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General NPI Number Information
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NPI Number | 1396746673
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Entity Type | Organization
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Legal Business Name | LABORATORY ALLIANCE OF CENTRAL NEW YORK, LLC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 113 INNOVATION LN
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City | LIVERPOOL
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State | NY
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Zip | 13088-6061
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Country | US
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Telephone | 315-453-7200
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Fax | 315-461-3030
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Provider Business Mailing Address
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Address Line | 115 CONTINUUM DR STE 2A
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City | LIVERPOOL
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State | NY
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Zip | 13088-4387
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Country | US
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Telephone | 315-461-3006
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Fax | 315-461-3090
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Authorized Official
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Title or Position | CEO
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Name | RITA ROMANO
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Credential |
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Telephone | 315-461-3036
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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 | 33D0954150
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License Number State | NY
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