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General NPI Number Information
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NPI Number | 1891419420
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Entity Type | Organization
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Legal Business Name | HALO CLINICAL LAB INC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 21 ARGONAUT STE B
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City | ALISO VIEJO
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State | CA
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Zip | 92656-4150
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Country | US
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Telephone | 949-648-6754
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Fax |
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Provider Business Mailing Address
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Address Line | 21 ARGONAUT STE B
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City | ALISO VIEJO
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State | CA
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Zip | 92656-4150
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Country | US
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Telephone | 844-425-6391
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL UHL
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Credential |
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Telephone | 415-515-4795
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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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