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General NPI Number Information
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NPI Number | 1780537621
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Entity Type | Organization
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Legal Business Name | MEDXLABS, LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1801 AV. JUAN PONCE DE LEON SUITE 403
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 939-535-3802
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Fax |
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Provider Business Mailing Address
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Address Line | 1666 AV. JUAN PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 939-399-2057
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BRETT HEAP
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Credential |
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Telephone | 949-417-6888
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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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