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General NPI Number Information
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NPI Number | 1508275082
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Entity Type | Organization
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Legal Business Name | INDUSTRY LAB DIAGNOSTIC PARTNERS LLC
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | INDUSTRY LAB DIAGNOSTIC PARTNERS 9363 ALLEN RD STE B
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City | WEST CHESTER
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State | OH
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Zip | 45069
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Country | US
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Telephone | 513-866-7922
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Fax | 513-860-0373
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Provider Business Mailing Address
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Address Line | 9363 ALLEN RD STE B
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City | WEST CHESTER
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State | OH
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Zip | 45069-3846
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Country | US
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Telephone | 513-866-7922
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Fax | 513-860-0373
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Authorized Official
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Title or Position | PRINCIPAL
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Name | TROY L EVANS
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Credential |
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Telephone | 513-866-7922
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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 | 44D2080450
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License Number State | TN
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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 |
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