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General NPI Number Information
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NPI Number | 1831612290
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Entity Type | Organization
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Legal Business Name | PARAMOUNT LABORATORIES, LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1903 CENTRAL DR STE 215
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City | BEDFORD
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State | TX
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Zip | 76021-5876
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Country | US
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Telephone | 817-508-0447
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Fax |
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Provider Business Mailing Address
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Address Line | 1903 CENTRAL DR STE 215
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City | BEDFORD
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State | TX
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Zip | 76021-5876
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Country | US
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Telephone | 817-508-0447
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | COURTNEY GIBSON
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Credential |
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Telephone | 214-662-0708
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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 | TX
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