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General NPI Number Information
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NPI Number | 1770476020
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Entity Type | Organization
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Legal Business Name | KEYDX LABORATORY, LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 130 W KERR ST
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City | SALISBURY
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State | NC
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Zip | 28144-4329
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Country | US
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Telephone | 980-330-7098
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Fax |
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Provider Business Mailing Address
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Address Line | 130 W KERR ST
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City | SALISBURY
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State | NC
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Zip | 28144-4329
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Country | US
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Telephone | 704-870-8048
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | FRANCHESCA YOUNG
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Credential |
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Telephone | 336-733-8902
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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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