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General NPI Number Information
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NPI Number | 1942927918
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Entity Type | Organization
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Legal Business Name | US DIAGNOSTICS SOLUTIONS LLC
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 1660 CLAY ST
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City | SANTA CLARA
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State | CA
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Zip | 95050-4612
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Country | US
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Telephone | 773-658-5979
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 CLAY ST
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City | SANTA CLARA
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State | CA
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Zip | 95050-4612
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Country | US
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Telephone | 773-658-5979
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | BASALAT AHMAD
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Credential |
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Telephone | 773-658-5979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 331L00000X
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Taxonomy Name | Blood Bank
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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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