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General NPI Number Information
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NPI Number | 1508594235
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Entity Type | Organization
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Legal Business Name | US MOLECULAR LABORATORIES INC
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 195 WEKIVA SPRINGS RD STE 151
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City | LONGWOOD
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State | FL
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Zip | 32779-6089
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Country | US
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Telephone | 407-459-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 195 WEKIVA SPRINGS RD STE 151
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City | LONGWOOD
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State | FL
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Zip | 32779-6089
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Country | US
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Telephone | 407-459-8845
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JASON RYAN WEIL
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Credential |
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Telephone | 407-375-8599
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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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