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General NPI Number Information
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NPI Number | 1871585067
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Entity Type | Organization
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Legal Business Name | REVVITY OMICS, INC.
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 250 INDUSTRY DR STE 400
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City | PITTSBURGH
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State | PA
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Zip | 15275-1017
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Country | US
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Telephone | 412-220-2300
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Fax | 412-220-0784
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Provider Business Mailing Address
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Address Line | 250 INDUSTRY DR STE 400
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City | PITTSBURGH
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State | PA
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Zip | 15275-1017
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Country | US
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Telephone | 412-220-2300
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Fax | 412-220-0784
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DR. TARAKA R DONTI
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Credential | MS, PH.D, FACMG
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Telephone | 412-220-2300
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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 | 022936
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License Number State | PA
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