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General NPI Number Information
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NPI Number | 1457076648
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Entity Type | Organization
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Legal Business Name | HEALTH DIAGNOSTICS LABORATORIES INC
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 17835 VENTURA BLVD STE 201
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City | ENCINO
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State | CA
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Zip | 91316-3669
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Country | US
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Telephone | 818-654-6220
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Fax | 818-654-6227
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Provider Business Mailing Address
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Address Line | 17835 VENTURA BLVD STE 201
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City | ENCINO
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State | CA
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Zip | 91316-3669
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Country | US
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Telephone | 818-654-6220
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Fax | 818-654-6227
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Authorized Official
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Title or Position | OWNER
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Name | FNU ABDUL HABEEB
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Credential |
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Telephone | 469-880-1563
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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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