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General NPI Number Information
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NPI Number | 1861269151
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Entity Type | Organization
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Legal Business Name | ALPHA MEDICAL LABORATORY LLC
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 31420 NORTHWESTERN HWY
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2508
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Country | US
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Telephone | 248-579-1400
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Fax | 855-538-1400
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Provider Business Mailing Address
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Address Line | 31420 NORTHWESTERN HWY
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2508
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Country | US
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Telephone | 248-579-1400
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Fax | 855-538-1400
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | REMA HAZIME
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Credential |
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Telephone | 248-579-1400
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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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