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General NPI Number Information
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NPI Number | 1861972457
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Entity Type | Organization
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Legal Business Name | LABORATORY SPECIALISTS OF MICHIGAN, LLC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 13530 MICHIGAN AVE STE 240
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City | DEARBORN
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State | MI
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Zip | 48126
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Country | US
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Telephone | 954-818-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 13530 MICHIGAN AVE STE 240
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City | DEARBORN
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State | MI
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Zip | 48126-3575
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Country | US
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Telephone | 954-818-1533
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ARTHUR SCHNUR
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Credential |
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Telephone | 954-818-1533
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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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