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General NPI Number Information
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NPI Number | 1962295196
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Entity Type | Organization
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Legal Business Name | AXIRIUM LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 9137 E MINERAL CIR STE 260
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City | CENTENNIAL
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State | CO
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Zip | 80112-3423
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Country | US
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Telephone | 571-443-9091
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Fax |
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Provider Business Mailing Address
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Address Line | 17300 EL CAMINO REAL STE 109
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City | HOUSTON
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State | TX
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Zip | 77058-2744
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAI AKSHIT DANTALA
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Credential |
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Telephone | 571-443-9091
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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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