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General NPI Number Information
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NPI Number | 1851726731
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Entity Type | Organization
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Legal Business Name | INFINITY DIAGNOSTICS LABORATORY, INC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 370 NORTH ST
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City | TETERBORO
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State | NJ
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Zip | 07608-1209
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Country | US
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Telephone | 732-245-3743
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Fax |
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Provider Business Mailing Address
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Address Line | 370 NORTH ST
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City | TETERBORO
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State | NJ
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Zip | 07608-1214
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOSEPH LOVEY
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Credential |
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Telephone | 732-245-3743
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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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