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General NPI Number Information
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NPI Number | 1396984019
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Entity Type | Organization
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Legal Business Name | QUICK LAB LLC
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 4301 HAZY MEADOW LN
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City | GRAPEVINE
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State | TX
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Zip | 76051-5718
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Country | US
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Telephone | 817-313-1149
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Fax | 972-279-6201
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Provider Business Mailing Address
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Address Line | 2379 GUS THOMASSON RD STE 200
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City | MESQUITE
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State | TX
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Zip | 75150-7102
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Country | US
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Telephone | 972-279-6200
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Fax | 972-279-6201
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NADEEM PATEL
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Credential |
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Telephone | 817-313-1149
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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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