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General NPI Number Information
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NPI Number | 1780704007
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Entity Type | Organization
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Legal Business Name | ISLANDWIDE TESTING, INC.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 CHARLES LINDBERGH BLVD SUITE 400
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City | UNIONDALE
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State | NY
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Zip | 11553-3626
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Country | US
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Telephone | 516-229-2328
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Fax | 516-229-2350
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Provider Business Mailing Address
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Address Line | 50 CHARLES LINDBERGH BLVD SUITE 400
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City | UNIONDALE
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State | NY
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Zip | 11553-3626
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Country | US
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Telephone | 516-229-2328
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Fax | 516-229-2350
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERTO GARCIA
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Credential |
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Telephone | 516-318-0647
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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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