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General NPI Number Information
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NPI Number | 1730228131
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Entity Type | Organization
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Legal Business Name | UNILAB CORPORATION
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 15462 MAIN ST STE A
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City | HESPERIA
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State | CA
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Zip | 92345-3318
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Country | US
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Telephone | 760-956-6857
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 MONROE BLVD
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City | NORRISTOWN
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State | PA
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Zip | 19403-2429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF BILLING
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Name | G SCOTT CARTIER
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Credential |
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Telephone | 484-676-7000
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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 | CA
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