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General NPI Number Information
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NPI Number | 1588004410
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Entity Type | Organization
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Legal Business Name | MEDSCAN LABORATORY INC
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1502 13TH AVE SUITE 201
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City | WILLISTON
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State | ND
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Zip | 58801-3825
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Country | US
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Telephone | 701-577-0498
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Fax | 701-577-0708
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | BRASELTON
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State | GA
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Zip | 30517-0010
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Country | US
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Telephone | 470-649-4209
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Fax | 470-297-5495
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM HOWARD
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Credential |
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Telephone | 701-577-6578
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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 | 35D0991209
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License Number State | ND
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