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General NPI Number Information
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NPI Number | 1720909591
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Entity Type | Organization
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Legal Business Name | SOUTH TEXAS DIAGNOSTIC LABORATORIES
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 4400 PECAN BLVD
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City | MCALLEN
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State | TX
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Zip | 78501-3198
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Country | US
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Telephone | 956-703-9078
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Fax |
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Provider Business Mailing Address
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Address Line | 5248 N BRYAN RD
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City | PALMHURST
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State | TX
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Zip | 78573-3934
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Country | US
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Telephone | 956-778-2254
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. LUIS AARON MARQUEZ
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Credential |
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Telephone | 956-778-2254
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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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