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General NPI Number Information
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NPI Number | 1780314914
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Entity Type | Organization
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Legal Business Name | SERENALYTICS, LLC
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Dates
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Enumeration Date | 06/11/2022
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 11838 MEDPARK DR STE 103
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City | BURLESON
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State | TX
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Zip | 76028-0278
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Country | US
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Telephone | 817-293-4304
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Fax | 817-293-7244
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Provider Business Mailing Address
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Address Line | PO BOX 879
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City | BURLESON
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State | TX
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Zip | 76097-0879
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Country | US
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Telephone | 817-293-4304
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Fax | 817-293-7244
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN HOMER
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Credential |
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Telephone | 817-293-4304
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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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