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1629910435 NPI number — COMPLIANCE ONE LABS

NPI Number: 1629910435
Health Care Provider/Practitioner: COMPLIANCE ONE LABS

Information about “1629910435” NPI (COMPLIANCE ONE LABS) exists in 1629910435 in HTML format HTML  |  1629910435 in plain Text format TXT  |  1629910435 in PDF (Portable Document Format) PDF  |  1629910435 in an XML format XML  formats.

NPI Number : 1629910435 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629910435",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMPLIANCE ONE LABS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "916 SANDY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STEVENS POINT",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54482-9207",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-570-5947",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "916 SANDY LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STEVENS POINT",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54482-9207",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-570-5947",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2026",
    "LastUpdateDate": "04/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STOLL",
    "AuthorizedOfficialFirstName": "KIMBERLY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "715-498-7739",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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