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General NPI Number Information
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NPI Number | 1538507819
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Entity Type | Organization
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Legal Business Name | RCA LABORATORY SERVICES, LLC
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 4060 INNSLAKE DR
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City | GLEN ALLEN
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State | VA
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Zip | 23060
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Country | US
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Telephone | 804-346-4363
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Fax | 866-704-3113
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Provider Business Mailing Address
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Address Line | 4060 INNSLAKE DR
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City | GLEN ALLEN
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State | VA
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Zip | 23060
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Country | US
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Telephone | 804-346-4363
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Fax | 866-704-3113
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Authorized Official
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Title or Position | CFO
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Name | MR. KEVIN MCCLURE
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Credential |
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Telephone | 610-994-2923
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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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