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General NPI Number Information
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NPI Number | 1508487430
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Entity Type | Organization
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Legal Business Name | MORNINGSTAR LABORATORIES LLC
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 5151 CALIFORNIA AVE STE 150
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City | IRVINE
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State | CA
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Zip | 92617-3206
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Country | US
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Telephone | 949-547-3140
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Fax | 949-315-3710
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Provider Business Mailing Address
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Address Line | 5151 CALIFORNIA AVE STE 150
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City | IRVINE
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State | CA
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Zip | 92617-3206
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Country | US
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Telephone | 949-547-3140
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Fax | 949-315-3710
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | DR. DOUGLAS STEPHEN HARRINGTON
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Credential | MD
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Telephone | 949-547-3140
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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 |
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License Number State |
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