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General NPI Number Information
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NPI Number | 1447933312
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Entity Type | Organization
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Legal Business Name | L&G LABORATORY INC
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 14546 HAMLIN ST., UNIT 110
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City | VAN NUYS
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State | CA
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Zip | 91411
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Country | US
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Telephone | 818-479-3548
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Fax | 818-450-0860
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Provider Business Mailing Address
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Address Line | 14546 HAMLIN ST., UNIT 110
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City | VAN NUYS
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State | CA
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Zip | 91411
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Country | US
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Telephone | 818-479-3548
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Fax | 818-450-0860
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Authorized Official
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Title or Position | TECHNICAL SUPERVISOR
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Name | DR. AHSAN BASEER
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Credential | PHD., CLS
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Telephone | 714-493-1224
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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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