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General NPI Number Information
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NPI Number | 1922354729
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Entity Type | Organization
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Legal Business Name | LABORATORY MANAGEMENT SERVICES - TECHNOLOGY CAPITAL LLC
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 1101 MEDICAL CENTER BLVD
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City | MARRERO
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State | LA
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Zip | 70072-3147
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Country | US
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Telephone | 318-841-9526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 731951
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City | DALLAS
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State | TX
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Zip | 75373-1951
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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 | DIRECTOR OF BILLING
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Name | DEBBIE F RHODES
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Credential |
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Telephone | 318-841-9522
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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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