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General NPI Number Information
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NPI Number | 1811587009
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Entity Type | Organization
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Legal Business Name | TRIGENIX LABORATORIES LLC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 3611 CARPENTER ST STE 7
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City | HAMTRAMCK
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State | MI
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Zip | 48212-2784
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Country | US
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Telephone | 201-334-6073
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Fax |
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Provider Business Mailing Address
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Address Line | 3611 CARPENTER ST STE 7
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City | HAMTRAMCK
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State | MI
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Zip | 48212-2784
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Country | US
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Telephone | 201-334-6073
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANA SAED
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Credential |
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Telephone | 201-334-6073
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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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