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General NPI Number Information
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NPI Number | 1659322360
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Entity Type | Organization
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Legal Business Name | U S LAB & RADIOLOGY LLC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2 JONATHAN DR
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City | BROCKTON
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State | MA
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Zip | 02301-5549
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Country | US
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Telephone | 508-583-2000
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Fax | 438-427-2644
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Provider Business Mailing Address
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Address Line | 2 JONATHAN DR
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City | BROCKTON
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State | MA
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Zip | 02301-5549
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Country | US
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Telephone | 508-583-2000
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Fax | 508-895-9509
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/CFO
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Name | BRIAN C CUOMO
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Credential |
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Telephone | 443-662-4101
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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 | 2253
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License Number State | MA
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Taxonomy #2
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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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