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General NPI Number Information
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NPI Number | 1700212735
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Entity Type | Organization
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Legal Business Name | EXCELTOX LABORATORIES, LLC.
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 15375 BARRANCA PKWY STE E104
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City | IRVINE
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State | CA
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Zip | 92618-2207
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Country | US
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Telephone | 877-202-7019
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Fax | 949-423-3100
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Provider Business Mailing Address
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Address Line | 6789 QUAIL HILL PKWY STE 224
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City | IRVINE
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State | CA
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Zip | 92603-4233
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Country | US
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Telephone | 877-202-7019
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Fax | 949-423-3100
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Authorized Official
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Title or Position | PARTNER
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Name | BRIAN CHAVEZ
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Credential |
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Telephone | 949-500-5513
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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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