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General NPI Number Information
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NPI Number | 1518574839
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC INVESTMENTS LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 7023 CANOGA AVENUE SUITE B
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City | CANOGA PARK
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State | CA
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Zip | 91303
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Country | US
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Telephone | 989-277-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 ETO CIRCLE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405
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Country | US
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Telephone | 989-277-5070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLEE OWENS
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Credential |
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Telephone | 989-277-5070
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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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