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General NPI Number Information
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NPI Number | 1699424168
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Entity Type | Organization
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Legal Business Name | QUICK DIAGNOSTIC LABS LLC
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 8149 KENNEDY AVE STE A
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City | HIGHLAND
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State | IN
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Zip | 46322-1128
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Country | US
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Telephone | 847-571-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 8149 KENNEDY AVE STE A
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City | HIGHLAND
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State | IN
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Zip | 46322-1128
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Country | US
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Telephone | 847-571-0131
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MUHAMMAD A IQBAL
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Credential |
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Telephone | 847-571-0131
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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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