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General NPI Number Information
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NPI Number | 1669771465
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Entity Type | Organization
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Legal Business Name | LAB MEDICAL LLC
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 105 MONTGOMERY AVE SUITE 1052
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936
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Country | US
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Telephone | 215-855-1885
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Fax | 215-855-1822
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Provider Business Mailing Address
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Address Line | 105 MONTGOMERY AVE STE 1052
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City | LANSDALE
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State | PA
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Zip | 19446-1404
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Country | US
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Telephone | 215-855-1885
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Fax | 215-855-1822
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW M DECK
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Credential |
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Telephone | 215-855-1885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | PA
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