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General NPI Number Information
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NPI Number | 1467248898
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Entity Type | Organization
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Legal Business Name | STAT TO GO LAB TESTING LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 511 W LAUREL AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-3504
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Country | US
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Telephone | 769-204-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 511 W LAUREL AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-3504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIUNA RILEY
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Credential | CPT
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Telephone | 769-204-0075
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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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