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General NPI Number Information
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NPI Number | 1831222074
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Entity Type | Organization
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Legal Business Name | PRINCETON BIOMEDICAL LABORATORIES
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2921 VETERANS HWY
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City | BRISTOL
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State | PA
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Zip | 19007-1605
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Country | US
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Telephone | 215-785-5200
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Fax | 215-785-6400
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Provider Business Mailing Address
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Address Line | 2921 VETERANS HWY
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City | BRISTOL
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State | PA
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Zip | 19007-1605
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Country | US
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Telephone | 215-785-5200
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Fax | 215-785-6400
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Authorized Official
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Title or Position | CEO
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Name | MR. SYED IQBAL HAIDER
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Credential |
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Telephone | 215-785-5200
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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 | 000156
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License Number State | PA
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