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General NPI Number Information
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NPI Number | 1407561723
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Entity Type | Organization
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Legal Business Name | VISTALINK HEALTH LABS-CHICAGO LLC
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 100 TRISTATE INTERNATIONAL STE 240
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-4418
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Country | US
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Telephone | 276-469-8925
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Fax |
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Provider Business Mailing Address
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Address Line | 100 TRISTATE INTERNATIONAL STE 240
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-4418
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Country | US
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Telephone | 833-831-8163
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID FLEMING
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Credential |
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Telephone | 847-951-1277
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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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