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General NPI Number Information
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NPI Number | 1508713892
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Entity Type | Organization
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Legal Business Name | LEMEDIX MIDWEST LAB LLC
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 799 ROOSEVELT RD - BLDG 6 - STE 100
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City | GLEN ELLYN
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State | IL
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Zip | 60137
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Country | US
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Telephone | 630-201-4786
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Fax |
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Provider Business Mailing Address
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Address Line | 799 ROOSEVELT RD - BLDG 6 - STE 100
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City | GLEN ELLYN
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State | IL
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Zip | 60137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | RAIHAAN KHAN
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Credential |
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Telephone | 630-201-4786
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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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