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General NPI Number Information
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NPI Number | 1902274327
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Entity Type | Organization
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Legal Business Name | LAB RESULTS, LLC.
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 8005 N POINT BLVD J
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3267
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Country | US
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Telephone | 336-722-3803
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Fax | 336-722-3806
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Provider Business Mailing Address
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Address Line | 8005 N POINT BLVD J
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3267
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Country | US
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Telephone | 336-722-3803
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Fax | 336-722-3806
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARON P. JOHNSON
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Credential |
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Telephone | 336-722-3803
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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 | 34D2038668
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License Number State | NC
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