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General NPI Number Information
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NPI Number | 1891312179
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Entity Type | Organization
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Legal Business Name | ALLORA LABORATORY, LLC
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 405 SAINT JOHNS CHURCH RD STE 104
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City | CAMP HILL
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State | PA
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Zip | 17011-5739
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Country | US
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Telephone | 717-216-8131
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Fax | 717-850-8039
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Provider Business Mailing Address
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Address Line | 405 SAINT JOHNS CHURCH RD STE 104
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City | CAMP HILL
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State | PA
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Zip | 17011-5739
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Country | US
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Telephone | 717-216-8131
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Fax | 717-850-8039
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Authorized Official
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Title or Position | COO
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Name | SARAH JOHNSTON
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Credential | MS, MLS (ASCP)
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Telephone | 717-491-5371
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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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