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General NPI Number Information
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NPI Number | 1659915049
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Entity Type | Organization
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Legal Business Name | AH DIAGNOSTICS LAB
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 26450 RUETHER AVE STE 205
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City | SANTA CLARITA
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State | CA
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Zip | 91350-2970
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Country | US
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Telephone | 661-360-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 26450 RUETHER AVE STE 205
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City | SANTA CLARITA
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State | CA
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Zip | 91350-2970
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Country | US
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Telephone | 661-360-5511
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARMEN HAKOBYAN
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Credential |
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Telephone | 323-573-2591
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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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