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General NPI Number Information
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NPI Number | 1962921445
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Entity Type | Organization
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Legal Business Name | CABOT LAB LLC
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 833 E ARAPAHO RD STE 105
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City | RICHARDSON
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State | TX
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Zip | 75081-2245
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Country | US
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Telephone | 214-382-9960
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Fax | 972-637-8660
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Provider Business Mailing Address
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Address Line | 833 E ARAPAHO RD STE 105
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City | RICHARDSON
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State | TX
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Zip | 75081-2245
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Country | US
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Telephone | 214-382-9960
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Fax | 972-637-8660
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Authorized Official
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Title or Position | OWNER
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Name | JAISON JOSEPH
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Credential |
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Telephone | 972-222-3870
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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 | 37D2057496
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License Number State | OK
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