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General NPI Number Information
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NPI Number | 1972637817
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Entity Type | Organization
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Legal Business Name | HEMEX LABORATORIES LLC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2505 W BERYL AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-1641
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Country | US
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Telephone | 602-997-9161
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Fax | 602-997-1406
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Provider Business Mailing Address
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Address Line | 2505 W BERYL AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-1641
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Country | US
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Telephone | 602-997-9161
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Fax | 602-997-1406
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Authorized Official
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Title or Position | LLC MANAGER
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Name | MR. DAVID E BERG
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Credential | MS
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Telephone | 602-997-9161
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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 | AZ
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