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General NPI Number Information
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NPI Number | 1871181081
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Entity Type | Organization
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Legal Business Name | RAPID LAB
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 2465 REYNOLDS AVE STE 202
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-7296
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Country | US
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Telephone | 909-556-2644
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Fax | 702-780-5840
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Provider Business Mailing Address
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Address Line | 2464 REYNOLDS AVE SUITE 202
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030
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Country | US
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Telephone | 909-556-2644
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Fax | 702-780-5840
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Authorized Official
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Title or Position | LAB OWNER
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Name | TIFFANY PHARMER
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Credential |
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Telephone | 702-488-4950
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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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