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NPI 1780272351

NPI 1780272351 : ON CALL LAB DRAW LLC : SULPHUR, LA

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General NPI Number Information
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    NPI Number           |    1780272351
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    Entity Type          |    Organization 
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    Legal Business Name  |    ON CALL LAB DRAW LLC 
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Dates
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    Enumeration Date     |    01/08/2021
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    Last Update Date     |    01/29/2026
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Provider Practice Location Address
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    Address Line         |    103 W THOMAS ST 
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    City                 |    SULPHUR
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    State                |    LA
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    Zip                  |    70663-3353
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    Country              |    US
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    Telephone            |    337-485-1220
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    Fax                  |    337-476-2018
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Provider Business Mailing Address
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    Address Line         |    1040 ANN ST 
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    City                 |    WESTLAKE
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    State                |    LA
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    Zip                  |    70669-3802
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    Country              |    US
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    Telephone            |    337-485-1220
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    Fax                  |    337-476-2018
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Authorized Official
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    Title or Position    |    OWNER/PHLEBOTOMY TECHNICIAN
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    Name                 |    MRS. SHEENA MARIE MARTIN 
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    Credential           |    CPI (ACA)
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    Telephone            |    337-485-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    246RP1900X
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    Taxonomy Name        |    Phlebotomy Technician
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    License Number       |    
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    License Number State |    
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