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NPI 1922814060

NPI 1922814060 : I MEAN BUSINESS LABORATORY : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1922814060
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    Entity Type          |    Organization 
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    Legal Business Name  |    I MEAN BUSINESS LABORATORY 
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Dates
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    Enumeration Date     |    12/04/2024
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    Last Update Date     |    01/09/2025
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Provider Practice Location Address
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    Address Line         |    5502 E 36TH ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46218-1813
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    Country              |    US
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    Telephone            |    317-647-6878
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    Fax                  |    844-273-3367
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Provider Business Mailing Address
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    Address Line         |    5625 N GERMAN CHURCH RD STE 2073 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46235-8513
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    Country              |    US
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    Telephone            |    317-647-6878
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LAB DIRECTOR
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    Name                 |    MS. TWANITA  JONES 
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    Credential           |    
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    Telephone            |    317-647-6878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QG0250X
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    Taxonomy Name        |    Genetics Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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