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General NPI Number Information
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NPI Number | 1881752236
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Entity Type | Organization
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Legal Business Name | BIO-TRANS LABORATORY, INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 23101 SHERMAN PLACE STE 221
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City | WEST HILLS
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State | CA
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Zip | 91307
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Country | US
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Telephone | 818-594-0573
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Fax | 818-710-9442
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Provider Business Mailing Address
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Address Line | 23101 SHERMAN PLACE STE 221
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City | WEST HILLS
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State | CA
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Zip | 91307
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Country | US
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Telephone | 818-594-0573
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Fax | 818-710-9442
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALI KERMANI SR.
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Credential | PHD CCS ABMLI
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Telephone | 818-710-9545
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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 | CLF 11766
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License Number State | CA
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