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General NPI Number Information
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NPI Number | 1629080908
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Entity Type | Organization
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Legal Business Name | UROLITHIASIS LABORATORY INC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9525 KATY FWY SUITE 222
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City | HOUSTON
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State | TX
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Zip | 77024-1407
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Country | US
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Telephone | 713-464-4333
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Fax | 713-464-6546
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Provider Business Mailing Address
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Address Line | 9525 KATY FWY SUITE 222
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City | HOUSTON
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State | TX
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Zip | 77024-1407
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Country | US
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Telephone | 713-464-4333
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Fax | 713-464-6546
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Authorized Official
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Title or Position | LABORATORY MANAGER
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Name | MR. CHRIS CLINTON
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Credential |
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Telephone | 713-464-8312
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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 | TX
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