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General NPI Number Information
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NPI Number | 1902215510
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE LAB SERVICES LLC
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 2300 AUSTINS PKWY SUITE 400
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City | FLINT
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State | MI
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Zip | 48507-1363
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Country | US
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Telephone | 844-234-9758
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Fax | 810-515-7570
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Provider Business Mailing Address
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Address Line | 2300 AUSTINS PKWY SUITE 400
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City | FLINT
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State | MI
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Zip | 48507-1363
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | PARAMJIT AHLUWALIA
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Credential |
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Telephone | 810-610-2227
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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 | 23D2079736
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License Number State | MI
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