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General NPI Number Information
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NPI Number | 1568011864
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Entity Type | Organization
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Legal Business Name | STRATA PATHOLOGY SERVICES INC
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 1 CRANBERRY HL STE 105
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City | LEXINGTON
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State | MA
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Zip | 02421-7397
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Country | US
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Telephone | 800-325-7284
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Fax | 205-579-9387
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Provider Business Mailing Address
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Address Line | PO BOX 532281
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City | ATLANTA
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State | GA
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Zip | 30353-2281
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Country | US
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Telephone | 822-245-2256
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Fax | 205-579-9387
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Authorized Official
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Title or Position | CFO
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Name | SCOTT BAKOTIC
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Credential |
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Telephone | 678-965-2822
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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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