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General NPI Number Information
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NPI Number | 1699601856
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Entity Type | Organization
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Legal Business Name | FORTUITY FLOW LAB LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 112 HILLCREST DR
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City | LAURENS
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State | SC
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Zip | 29360-2340
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Country | US
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Telephone | 864-810-6772
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Fax |
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Provider Business Mailing Address
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Address Line | 112 HILLCREST DR
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City | LAURENS
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State | SC
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Zip | 29360-2340
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Country | US
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Telephone | 864-810-6772
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | CHRISTIE WEBB
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Credential | CPT
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Telephone | 864-810-6772
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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