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General NPI Number Information
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NPI Number | 1891519047
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Entity Type | Organization
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Legal Business Name | OREGON CLINICAL LABORATORY LLC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 417 N SPRING ST UNIT B
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-2605
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Country | US
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Telephone | 971-200-1449
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Fax | 541-641-0155
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Provider Business Mailing Address
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Address Line | 417 N SPRING ST UNIT B
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-2605
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Country | US
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Telephone | 971-200-1449
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Fax | 541-641-0155
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Authorized Official
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Title or Position | OWNER
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Name | JAHANGEER ALI
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Credential |
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Telephone | 682-243-3242
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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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