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General NPI Number Information
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NPI Number | 1538682323
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Entity Type | Organization
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Legal Business Name | HARRIS COUNTY LABORATORIES, LLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11941 CUTTEN RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77066-3001
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Country | US
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Telephone | 832-969-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 11941 CUTTEN RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77066-3001
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Country | US
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Telephone | 832-969-6767
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. GORAN JANDJEL
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Credential |
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Telephone | 561-866-8010
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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 | 45D2133147
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License Number State | TX
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