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General NPI Number Information
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NPI Number | 1437969698
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Entity Type | Organization
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Legal Business Name | ATCG LABORATORY LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 17881 SKY PARK CIR # D-22
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City | IRVINE
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State | CA
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Zip | 92614-6304
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Country | US
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Telephone | 949-740-4497
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Fax |
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Provider Business Mailing Address
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Address Line | 17881 SKY PARK CIR # D-22
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City | IRVINE
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State | CA
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Zip | 92614-6304
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Country | US
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Telephone | 949-740-4497
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YTHAN LINGAT
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Credential |
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Telephone | 949-740-4497
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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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