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General NPI Number Information
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NPI Number | 1427588029
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Entity Type | Organization
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Legal Business Name | DIAMOND MEDICAL LABORATORIES, LLC.
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 66 PAINTERS MILL ROAD SUITE 200
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-834-8600
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Fax | 410-834-8601
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Provider Business Mailing Address
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Address Line | 66 PAINTERS MILL RD SUITE 200
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3641
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Country | US
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Telephone | 410-834-8600
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Fax | 410-834-8601
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Authorized Official
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Title or Position | CEO
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Name | MR. ALLEN KLUTTZ
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Credential |
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Telephone | 410-834-8600
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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 | 2664
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License Number State | MD
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