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General NPI Number Information
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NPI Number | 1821092297
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Entity Type | Organization
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Legal Business Name | REGIONAL TOXICOLOGY SERVICES, LLC
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2617 E L ST
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City | TACOMA
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State | WA
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Zip | 98421-2205
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Country | US
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Telephone | 253-552-1551
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Fax | 253-295-0815
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Provider Business Mailing Address
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Address Line | PO BOX 830525 #OWC 28
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City | BIRMINGHAM
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State | AL
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Zip | 35283-0525
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Country | US
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Telephone | 508-304-7602
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Fax | 508-304-7602
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Authorized Official
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Title or Position | MGR OF CREDENTIALING/ENROLLMENT
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Name | SYLVIA LYNN FREEMAN
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Credential |
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Telephone | 508-304-7602
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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 | 50D0891660
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License Number State | WA
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