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General NPI Number Information
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NPI Number | 1487538245
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Entity Type | Organization
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Legal Business Name | GLOBAL MOBILE LAB, LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 7627 LAKE ST STE 206
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City | RIVER FOREST
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State | IL
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Zip | 60305-1878
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Country | US
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Telephone | 773-343-6512
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Fax | 773-343-6512
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Provider Business Mailing Address
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Address Line | 7627 LAKE ST STE 206
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City | RIVER FOREST
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State | IL
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Zip | 60305-1878
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Country | US
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Telephone | 773-343-6512
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Fax | 773-343-6512
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Authorized Official
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Title or Position | PHLEBOTOMIST / SPECIMEN COLLECTOR
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Name | DENISE MOORE
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Credential |
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Telephone | 773-343-6512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number |
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License Number State |
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