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General NPI Number Information
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NPI Number | 1972497121
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Entity Type | Organization
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Legal Business Name | CIARA LABS
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 11425 E 20TH ST
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City | TULSA
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State | OK
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Zip | 74128-6438
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Country | US
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Telephone | 918-439-9229
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Fax | 918-437-8188
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Provider Business Mailing Address
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Address Line | 11425 E 20TH ST
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City | TULSA
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State | OK
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Zip | 74128-6438
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Country | US
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Telephone | 918-439-9229
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Fax | 918-437-8188
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRENTON STILLWELL
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Credential |
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Telephone | 866-306-4461
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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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