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General NPI Number Information
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NPI Number | 1902621386
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Entity Type | Organization
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Legal Business Name | ANYX DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 8813 N TARRANT PKWY STE 145
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8405
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Country | US
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Telephone | 817-662-6299
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Fax |
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Provider Business Mailing Address
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Address Line | 8813 N TARRANT PKWY STE 145
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8405
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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 | OWNER
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Name | SUSHMA BANALA
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Credential |
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Telephone | 817-662-6299
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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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