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General NPI Number Information
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NPI Number | 1487657573
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Entity Type | Organization
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Legal Business Name | INTEGRATED REGIONAL LABORATORIES, LLP
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 3201 SW 15TH ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8157
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Country | US
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Telephone | 954-777-0018
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Fax | 866-772-5953
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Provider Business Mailing Address
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Address Line | 3201 SW 15TH ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8157
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Country | US
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Telephone | 954-777-0018
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Fax | 866-772-5953
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JOANNE TROUT
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Credential |
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Telephone | 954-777-0018
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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 | 800014878
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License Number State | FL
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Taxonomy #2
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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 | FL
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 10D0964885
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 10D-0964885
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License Number State | FL
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