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General NPI Number Information
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NPI Number | 1912810268
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Entity Type | Organization
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Legal Business Name | NEXA LABS LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 15293 BARNABAS TRL
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5569
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Country | US
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Telephone | 835-658-9654
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Fax |
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Provider Business Mailing Address
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Address Line | 15293 BARNABAS TRL
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5569
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Country | US
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Telephone | 835-658-9654
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | QAMAR ZAMAN KHAN
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Credential |
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Telephone | 835-658-9654
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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 | NULL
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