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NPI 1962217596

NPI 1962217596 : KAROON CLINICAL LABORATORY LLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1962217596
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAROON CLINICAL LABORATORY LLC 
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Dates
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    Enumeration Date     |    02/11/2025
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    10039 BISSONNET ST STE 220 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-7852
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    Country              |    US
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    Telephone            |    866-442-1192
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    Fax                  |    832-684-0166
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Provider Business Mailing Address
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    Address Line         |    10039 BISSONNET ST STE 220 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77036-7852
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    Country              |    US
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    Telephone            |    866-442-1192
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MENUA  KHORKHORUNI 
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    Credential           |    
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    Telephone            |    866-442-1192
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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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