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General NPI Number Information
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NPI Number | 1962376145
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Entity Type | Organization
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Legal Business Name | MY RESULTS LAB
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1018 BENNETT ST
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City | JACKSON
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State | MI
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Zip | 49202-3206
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Country | US
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Telephone | 800-452-2114
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Fax |
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Provider Business Mailing Address
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Address Line | 156 W MICHIGAN AVE # 555
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City | JACKSON
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State | MI
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Zip | 49201-1302
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Country | US
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Telephone | 800-452-2114
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Fax |
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Authorized Official
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Title or Position | COLLECTOR
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Name | ASHLEY SHERRIE SCOTT
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Credential |
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Telephone | 517-612-7382
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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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