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General NPI Number Information
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NPI Number | 1609546837
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Entity Type | Organization
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Legal Business Name | VELOCITY LAB SERVICES L.L.C
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 5218 JAMMES ROAD BUILDING A STE. 1
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1475
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Country | US
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Telephone | 904-868-0166
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Fax | 888-603-5447
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Provider Business Mailing Address
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Address Line | 5218 JAMMES ROAD BUILDING A STE. 1
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1475
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Country | US
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Telephone | 904-868-0166
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Fax | 888-603-5447
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | RITHA WASHINGTON-MCFARLEY
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Credential |
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Telephone | 904-947-0766
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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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Taxonomy #2
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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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