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General NPI Number Information
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NPI Number | 1568840593
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Entity Type | Organization
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Legal Business Name | ZENITH LABORATORY SERVICES LLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 1212 ALPINE RD
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City | LONGVIEW
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State | TX
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Zip | 75601-5701
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Country | US
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Telephone | 903-212-4302
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Fax | 903-212-4304
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Provider Business Mailing Address
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Address Line | PO BOX 732975
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City | DALLAS
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State | TX
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Zip | 75373-2975
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Country | US
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Telephone | 210-301-1180
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Fax | 210-877-9695
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Authorized Official
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Title or Position | CFO
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Name | CYRUS KASHEF
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Credential |
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Telephone | 210-301-1180
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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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