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General NPI Number Information
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NPI Number | 1538982665
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Entity Type | Organization
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Legal Business Name | PRECISION COMPLIANCE TESTING, LLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 16643 KEDZIE AVE STE 104-400
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City | MARKHAM
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State | IL
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Zip | 60428-5512
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Country | US
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Telephone | 630-349-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 16643 KEDZIE AVE STE 104-400
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City | MARKHAM
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State | IL
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Zip | 60428-5512
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Country | US
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Telephone | 630-349-8333
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LATAVIA HUDSON
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Credential |
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Telephone | 630-349-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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Taxonomy #2
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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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