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General NPI Number Information
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NPI Number | 1902582018
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Entity Type | Organization
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Legal Business Name | MEKAZ LAB & TESTING CENTER LLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 70 SOUTH HIGHWAY 160 #104
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City | PAHRUMP
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State | NV
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Zip | 89048-2161
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Country | US
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Telephone | 775-990-1642
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Fax | 775-990-1646
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Provider Business Mailing Address
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Address Line | 7640 FELIZ CAMINO AVE
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City | LAS VEGAS
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State | NV
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Zip | 89129-5407
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Country | US
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Telephone | 775-990-1642
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Fax | 775-990-1646
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Authorized Official
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Title or Position | OWNER
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Name | CHUKWUDI OKAFOR
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Credential |
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Telephone | 775-990-1642
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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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