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General NPI Number Information
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NPI Number | 1588088587
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Entity Type | Organization
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Legal Business Name | AKRIVIS LABORATORIES LLC
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Dates
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Enumeration Date | 02/11/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 1402 S MAGNOLIA ST UNIT H
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City | HAMMOND
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State | LA
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Zip | 70403-5020
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Country | US
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Telephone | 888-414-2832
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 RASTON DR
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City | HAMMOND
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State | LA
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Zip | 70403-6233
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Country | US
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Telephone | 888-414-2832
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DAVID C THIGPEN
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Credential |
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Telephone | 888-414-2832
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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 | 19D2072678
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License Number State | LA
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