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General NPI Number Information
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NPI Number | 1962347740
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Entity Type | Organization
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Legal Business Name | BLUEPEAK DIAGNOSTIC LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 12715 WOODFOREST BLVD
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City | HOUSTON
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State | TX
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Zip | 77015-2737
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Country | US
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Telephone | 240-207-8382
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Fax |
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Provider Business Mailing Address
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Address Line | 9414 117TH ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1202
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Country | US
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Telephone | 240-207-8382
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ZIA UR REHMAN
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Credential | MLT
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Telephone | 240-207-8382
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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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