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General NPI Number Information
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NPI Number | 1770230930
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Entity Type | Organization
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Legal Business Name | ASTRO DIAGNOSTICS INC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 6666 HARWIN DR STE 655
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City | HOUSTON
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State | TX
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Zip | 77036-2279
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Country | US
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Telephone | 832-852-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 6666 HARWIN DR STE 655
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City | HOUSTON
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State | TX
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Zip | 77036-2279
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Country | US
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Telephone | 832-852-0330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VENU GOPAL GANGISETTI
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Credential |
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Telephone | 832-573-2168
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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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