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General NPI Number Information
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NPI Number | 1881829075
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Entity Type | Organization
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Legal Business Name | CYTOCHECK LABORATORY, LLC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 8626 TESORO DR STE 600A
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City | SAN ANTONIO
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State | TX
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Zip | 78217-6234
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Country | US
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Telephone | 620-421-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 1902 S HWY 59 BLDG D
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City | PARSONS
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State | KS
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Zip | 67357-4955
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Country | US
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Telephone | 620-421-2424
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Fax |
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Authorized Official
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Title or Position | OWNER/PATHOLOGIST
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Name | DR. JAMES R WELCH
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Credential | MD
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Telephone | 620-421-2424
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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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