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General NPI Number Information
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NPI Number | 1679724090
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Entity Type | Organization
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Legal Business Name | QUALITY LABORATORY SERVICES, INC.
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 6300 RICHMOND AVENUE SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77057-5927
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Country | US
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Telephone | 713-621-4464
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Fax | 713-219-4086
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Provider Business Mailing Address
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Address Line | 6300 RICHMOND AVENUE SUITE 350
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City | HOUSTON
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State | TX
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Zip | 77057-5927
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Country | US
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Telephone | 713-621-4464
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Fax | 713-219-4086
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. JIM RUTHERFORD
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Credential |
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Telephone | 713-621-4464
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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 | 45D0932241
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License Number State | TX
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