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General NPI Number Information
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NPI Number | 1477393734
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Entity Type | Organization
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Legal Business Name | INDEED MEDICAL MOBILE LAB
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3419 NW EVANGELINE TRWY STE 8
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City | CARENCRO
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State | LA
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Zip | 70520-6241
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Country | US
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Telephone | 337-314-9501
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 456
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City | WASHINGTON
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State | LA
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Zip | 70589-0456
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Country | US
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Telephone | 337-314-9501
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. PASCOL RIDEAU
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Credential |
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Telephone | 337-314-9501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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