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General NPI Number Information
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NPI Number | 1942097571
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Entity Type | Organization
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Legal Business Name | MYPATH DX LABORATORIES LLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3333 HENRY HUDSON PKWY STE 6
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City | BRONX
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State | NY
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Zip | 10463-3224
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Country | US
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Telephone | 917-346-4962
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Fax |
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Provider Business Mailing Address
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Address Line | 74 KRONE PL
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City | HACKENSACK
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State | NJ
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Zip | 07601-3738
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Country | US
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Telephone | 917-346-4962
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVE MUNIZ
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Credential |
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Telephone | 917-346-4962
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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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