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General NPI Number Information
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NPI Number | 1588030514
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Entity Type | Organization
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Legal Business Name | INSIGHT LABS, LLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 651 CORPORATE CIR SUITE 104
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City | GOLDEN
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State | CO
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Zip | 80401-5651
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Country | US
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Telephone | 720-548-3334
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Fax | 720-548-3339
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Provider Business Mailing Address
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Address Line | PO BOX 232
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City | ROCKWALL
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State | TX
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Zip | 75087-0232
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Country | US
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Telephone | 720-548-3334
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Fax | 720-548-3339
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Authorized Official
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Title or Position | COO
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Name | CHRISTY MILLER
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Credential |
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Telephone | 469-475-2423
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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 | CO
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