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General NPI Number Information
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NPI Number | 1457168098
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Entity Type | Organization
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Legal Business Name | INSIGHT DIAGNOSTICS LLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 34434 KING STREET ROW
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City | LEWES
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State | DE
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Zip | 19958-4987
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Country | US
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Telephone | 732-991-6579
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MOONLIGHT DR
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City | COLTS NECK
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State | NJ
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Zip | 07722-1074
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Country | US
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Telephone | 732-991-6579
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JASON STABACK
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Credential | PA
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Telephone | 732-991-6579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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