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1548517758 NPI number — DRUG TESTING SERVICE CENTER

NPI Number: 1548517758
Health Care Provider/Practitioner: DRUG TESTING SERVICE CENTER

Information about “1548517758” NPI (DRUG TESTING SERVICE CENTER) exists in 1548517758 in HTML format HTML  |  1548517758 in plain Text format TXT  |  1548517758 in PDF (Portable Document Format) PDF  |  1548517758 in an XML format XML  formats.

NPI Number : 1548517758 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548517758",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DRUG TESTING SERVICE CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 870115",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STONE MOUNTAIN",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30087-0003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-985-1888",
    "MailingAddressFaxNumber": "866-799-3188",
    "FirstLinePracticeLocationAddress": "10011 PINES BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 202",
    "PracticeLocationAddressCityName": "PEMBROKE PINES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33024-6189",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-430-2676",
    "PracticeLocationAddressFaxNumber": "954-430-2891",
    "EnumerationDate": "08/07/2012",
    "LastUpdateDate": "08/07/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DAVIS",
    "AuthorizedOfficialFirstName": "SHARON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "954-430-2676",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "293D00000X",
        "TaxonomyName": "Physiological Laboratory",
        "LicenseNumber": "20090494",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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