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General NPI Number Information
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NPI Number | 1659013498
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Entity Type | Organization
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Legal Business Name | PREFERRED LABORATORY SERVICES INC
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 620 N GILBERT ST # 620
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City | DANVILLE
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State | IL
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Zip | 61832-3940
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Country | US
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Telephone | 217-703-0180
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Fax | 513-860-0373
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Provider Business Mailing Address
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Address Line | PO BOX 638651
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City | CINCINNATI
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State | OH
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Zip | 45263-8651
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Country | US
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Telephone | 217-703-0180
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Fax | 513-860-0373
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Authorized Official
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Title or Position | SECRETARY/OWNER
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Name | TROY EVANS
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Credential |
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Telephone | 513-866-7922
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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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