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General NPI Number Information
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NPI Number | 1508566464
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Entity Type | Organization
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Legal Business Name | STRATUS DIAGNOSTICS LLC
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 2211 S I-35 SUITE 105
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City | AUSTIN
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State | TX
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Zip | 78741
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Country | US
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Telephone | 999-999-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 S I-35 SUITE 105
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City | AUSTIN
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State | TX
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Zip | 78741
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Country | US
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Telephone | 251-259-5893
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SAHAF BIN RAHMAN ABDUL
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Credential |
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Telephone | 251-259-5893
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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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