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General NPI Number Information
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NPI Number | 1457266595
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Entity Type | Organization
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Legal Business Name | GALAXY LABS SERVICES LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 917-454-3337
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Fax | 332-216-0158
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 917-454-3337
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Fax | 332-216-0158
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH LEE ELLYSON
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Credential | PHD
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Telephone | 917-454-3337
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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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