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General NPI Number Information
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NPI Number | 1407878358
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Entity Type | Organization
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Legal Business Name | SDI LABS, INC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2204 E 4TH ST STE 103
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City | SANTA ANA
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State | CA
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Zip | 92705-3868
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Country | US
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Telephone | 877-509-0376
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Fax | 714-891-8697
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Provider Business Mailing Address
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Address Line | 2204 E 4TH ST STE 103
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City | SANTA ANA
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State | CA
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Zip | 92705-3868
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Country | US
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Telephone | 877-509-0376
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Fax | 562-941-3384
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALEND HASSAN
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Credential |
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Telephone | 877-509-0376
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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 | CLF4725
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License Number State | CA
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