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General NPI Number Information
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NPI Number | 1801747258
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Entity Type | Organization
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Legal Business Name | AUSTIN PEAY STATE UNIVERSITY DIAGNOSTIC LABORATORY
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 341 8TH ST RM 204
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City | CLARKSVILLE
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State | TN
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Zip | 37040
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Country | US
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Telephone | 931-221-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 681 SUMMER ST
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City | CLARKSVILLE
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State | TN
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Zip | 37040-3086
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Country | US
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Telephone | 931-221-7335
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Fax |
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Authorized Official
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Title or Position | DIAGNOSTIC LABORATORY DIRECTOR
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Name | JULIE ANDREA MCKINNEY
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Credential | MLS (ASCP)CM
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Telephone | 931-206-3805
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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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