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General NPI Number Information
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NPI Number | 1609173632
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Entity Type | Organization
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Legal Business Name | U S LAB & RADIOLOGY LLC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 250 S FEDERAL HWY
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City | DANIA BEACH
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State | FL
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Zip | 33004-4800
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Country | US
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Telephone | 800-786-8015
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Fax | 954-962-9830
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Provider Business Mailing Address
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Address Line | 930 RIDGEBROOK RD
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City | SPARKS
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State | MD
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Zip | 21152-9481
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Country | US
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Telephone | 7-868-0158
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Fax | 410-472-1754
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Authorized Official
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Title or Position | EXECUTIVE VP
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Name | MR. DAVID VELEZ
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Credential |
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Telephone | 800-940-0389
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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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