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General NPI Number Information
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NPI Number | 1538891700
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Entity Type | Organization
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Legal Business Name | COMFORT MOBILE LABS LLC
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 2959 CHAPEL HILL RD STE D1118
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1785
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Country | US
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Telephone | 770-863-8009
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Fax |
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Provider Business Mailing Address
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Address Line | 2959 CHAPEL HILL RD STE D1118
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1785
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Country | US
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Telephone | 770-863-8009
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Fax |
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Authorized Official
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Title or Position | OWNER/TECHNICIAN
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Name | TONITA ROBINSON
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Credential | CPT
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Telephone | 678-392-0528
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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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