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General NPI Number Information
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NPI Number | 1871037879
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Entity Type | Organization
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Legal Business Name | ABILITY DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 858 S AUTO MALL DR #102
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2497
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Country | US
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Telephone | 801-899-3828
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Fax |
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Provider Business Mailing Address
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Address Line | 858 S AUTO MALL DR #102
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2497
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Country | US
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Telephone | 801-899-3828
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Fax |
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | MR. BROOKS ANDERSON
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Credential |
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Telephone | 801-899-3828
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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 | UT
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