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General NPI Number Information
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NPI Number | 1578381596
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Entity Type | Organization
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Legal Business Name | AVR LAB SERVICES
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 6208 STORNOWAY DR. S.
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City | COLUBMUS
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-974-3344
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Fax | 614-417-1445
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Provider Business Mailing Address
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Address Line | 6208 STORNOWAY DR. S.
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City | COLUBMUS
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-974-3344
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Fax | 614-417-1445
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Authorized Official
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Title or Position | SPECIMEN COLLECTOR, OWNER
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Name | VALARIE ROBINSON
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Credential |
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Telephone | 614-974-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246QL0900X
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Taxonomy Name | Laboratory Management Specialist/Technologist
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License Number |
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License Number State |
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