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NPI 1528952603

NPI 1528952603 : HUMMINGBIRD MOBILE LAB LLC : GREENVILLE, SC

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General NPI Number Information
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    NPI Number           |    1528952603
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUMMINGBIRD MOBILE LAB LLC 
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Dates
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    Enumeration Date     |    06/04/2025
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    355 S MAIN ST FL 1 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29601-2923
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    Country              |    US
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    Telephone            |    864-869-8864
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    Fax                  |    864-869-8864
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Provider Business Mailing Address
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    Address Line         |    355 S MAIN ST FL 1 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29601-2923
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    Country              |    US
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    Telephone            |    864-869-8864
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    Fax                  |    864-869-8864
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. NADEAN  HOUSEY 
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    Credential           |    PHLEBOTOMIST
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    Telephone            |    864-869-8864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    246RP1900X
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    Taxonomy Name        |    Phlebotomy Technician
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    License Number       |    
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    License Number State |    
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