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General NPI Number Information
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NPI Number | 1710830302
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Entity Type | Organization
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Legal Business Name | LABLINE DIAGNOSTICS LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 326 SALMON CT
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City | KISSIMMEE
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State | FL
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Zip | 34759-4723
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Country | US
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Telephone | 407-906-2025
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Fax | 407-906-2025
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Provider Business Mailing Address
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Address Line | 3500 POSNER BLVD # 1255
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City | DAVENPORT
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State | FL
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Zip | 33837-3640
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Country | US
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Telephone | 407-906-2025
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Fax | 407-906-2025
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Authorized Official
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Title or Position | AMBR
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Name | JOHANNY HERNANDEZ GONZALEZ
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Credential |
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Telephone | 407-906-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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