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General NPI Number Information
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NPI Number | 1619773207
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Entity Type | Organization
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Legal Business Name | ZAGROS CLINICAL LABORATORY LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1505 HIGHWAY 6 S STE 200
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City | HOUSTON
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State | TX
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Zip | 77077-1839
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Country | US
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Telephone | 844-543-5888
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Fax | 832-684-0150
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Provider Business Mailing Address
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Address Line | 1505 HIGHWAY 6 S STE 200
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City | HOUSTON
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State | TX
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Zip | 77077-1839
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Country | US
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Telephone | 844-543-5888
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Fax | 832-684-0150
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Authorized Official
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Title or Position | OWNER
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Name | DR. MEHRAN HAIDARI
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Credential |
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Telephone | 844-543-5888
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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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