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General NPI Number Information
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NPI Number | 1770459588
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Entity Type | Organization
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Legal Business Name | ON TIME SPECIMEN LAB LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 11970 WILCREST DR STE 102
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City | HOUSTON
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State | TX
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Zip | 77031-1923
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Country | US
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Telephone | 346-735-4925
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Fax |
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Provider Business Mailing Address
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Address Line | 11970 WILCREST DR STE 102
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City | HOUSTON
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State | TX
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Zip | 77031-1923
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Country | US
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Telephone | 346-735-4925
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANISSA CANTREL RAINER
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Credential |
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Telephone | 346-735-4925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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