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NPI 1801918487

NPI 1801918487 : SIGMA CLINICAL LABORATORIES, INC. : GALVESTON, TX

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General NPI Number Information
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    NPI Number           |    1801918487
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIGMA CLINICAL LABORATORIES, INC. 
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Dates
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    Enumeration Date     |    04/04/2007
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    Last Update Date     |    05/23/2022
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Provider Practice Location Address
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    Address Line         |    1609 23RD ST 
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77550-4503
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    Country              |    US
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    Telephone            |    409-515-9425
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1609 TREMONT ST 
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    City                 |    GALVESTON
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    State                |    TX
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    Zip                  |    77550-4503
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    Country              |    US
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    Telephone            |    409-763-6800
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    Fax                  |    409-763-2905
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. AMER  TAHA 
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    Credential           |    MT (ASCP), CLS (NCS)
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    Telephone            |    409-515-9425
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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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