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General NPI Number Information
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NPI Number | 1518600758
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Entity Type | Organization
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Legal Business Name | ACIES MOLECULAR LAB LLC
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 4000 DISCOVERY CT
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City | NEW ALBANY
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State | IN
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Zip | 47150
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Country | US
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Telephone | 502-468-3950
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 DISCOVERY CT
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City | NEW ALBANY
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State | IN
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Zip | 47150
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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 | MANAGING MEMBER
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Name | MARVIN LEE SCHMIDT JR.
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Credential | PHD
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Telephone | 502-468-3950
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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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