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General NPI Number Information
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NPI Number | 1952123473
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Entity Type | Organization
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Legal Business Name | KESS MAJ LABS LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 2832 RANDLEMAN RD STE H-3
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City | GREENSBORO
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State | NC
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Zip | 27406-5193
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Country | US
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Telephone | 336-929-8134
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Fax | 877-552-1628
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Provider Business Mailing Address
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Address Line | 2832 RANDLEMAN RD STE H-3
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City | GREENSBORO
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State | NC
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Zip | 27406-5193
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Country | US
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Telephone | 336-929-8134
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Fax | 877-552-1628
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Authorized Official
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Title or Position | OWNER/OPERATOR/LAB DIRECTOR
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Name | MRS. NATASHA LATOYA TORRES
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Credential |
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Telephone | 336-929-8134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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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 | 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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