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General NPI Number Information
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NPI Number | 1538763636
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Entity Type | Organization
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Legal Business Name | VISTALINK HEALTH LABORATORIES LLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 1275 OLD EUCLID CTR
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City | BRISTOL
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State | VA
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Zip | 24201-3852
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Country | US
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Telephone | 423-306-0647
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1907
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City | BRISTOL
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State | VA
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Zip | 24203-1907
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Country | US
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Telephone | 423-306-0647
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CHRISTOPHER JAMES GAMBILL
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Credential |
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Telephone | 423-306-0647
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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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