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General NPI Number Information
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NPI Number | 1609811439
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Entity Type | Organization
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Legal Business Name | MEDISLEEP DIAGNOSTIC CENTERS, LLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 950 E DOVLEN PL SUITE F
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City | CARSON
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State | CA
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Zip | 90746-3400
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Country | US
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Telephone | 559-456-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 5108 E CLINTON WAY SUITE131
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City | FRESNO
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State | CA
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Zip | 93727-2043
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Country | US
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Telephone | 559-456-2828
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF LAB OPERATIONS
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Name | KATHLEEN D HEALY
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Credential |
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Telephone | 559-274-2577
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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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