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General NPI Number Information
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NPI Number | 1912624040
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Entity Type | Organization
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Legal Business Name | DIALOGIX LABORATORY INC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 570 NEVADA ST STE K
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City | REDLANDS
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State | CA
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Zip | 92373-3139
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Country | US
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Telephone | 424-413-3906
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Fax |
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Provider Business Mailing Address
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Address Line | 570 NEVADA ST STE E
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City | REDLANDS
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State | CA
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Zip | 92373-3139
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Country | US
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Telephone | 424-413-3906
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Fax |
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Authorized Official
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Title or Position | TECHNICAL DIRECTOR
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Name | ADHITYA C SUMARDIE
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Credential | CLS
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Telephone | 310-339-6659
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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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