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General NPI Number Information
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NPI Number | 1568357770
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Entity Type | Organization
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Legal Business Name | ACCUMED LABORATORIES, LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 101 S 1ST ST STE 1000-A
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City | BURBANK
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State | CA
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Zip | 91502-1938
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Country | US
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Telephone | 480-978-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S 1ST ST STE 1000-A
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City | BURBANK
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State | CA
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Zip | 91502-1938
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Country | US
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Telephone | 480-978-0996
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Fax |
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Authorized Official
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Title or Position | LLC MEMBER
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Name | RUBEN SUKIASYAN
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Credential |
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Telephone | 480-978-0996
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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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