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General NPI Number Information
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NPI Number | 1881347573
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Entity Type | Organization
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Legal Business Name | PRECISION LAB SERVICES, LLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 433 PLAZA REAL STE 275
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City | BOCA RATON
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State | FL
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Zip | 33432-3999
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Country | US
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Telephone | 561-781-7036
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Fax | 561-781-7037
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Provider Business Mailing Address
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Address Line | 10941 WINDING CREEK LN
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City | BOCA RATON
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State | FL
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Zip | 33428-5664
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Country | US
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Telephone | 954-336-8483
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Fax | 561-781-7037
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Authorized Official
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Title or Position | OWNER
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Name | MIKERLINE LYNS
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Credential |
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Telephone | 954-336-8483
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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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