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General NPI Number Information
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NPI Number | 1457179335
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Entity Type | Organization
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Legal Business Name | DLG MOBILE LAB SERVICES INC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 6064 CAUSEWAY BLVD
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City | TAMPA
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State | FL
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Zip | 33619-6206
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Country | US
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Telephone | 813-812-9868
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Fax | 813-999-1046
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Provider Business Mailing Address
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Address Line | 6064 CAUSEWAY BLVD
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City | TAMPA
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State | FL
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Zip | 33619-6206
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Country | US
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Telephone | 813-812-9868
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Fax | 813-999-1046
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Authorized Official
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Title or Position | OWNER
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Name | AMPARO RODRIGUEZ NIEVES
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Credential | PHLEBOTOMY
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Telephone | 813-812-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246QL0900X
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Taxonomy Name | Laboratory Management Specialist/Technologist
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License Number |
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License Number State |
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