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General NPI Number Information
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NPI Number | 1982023305
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Entity Type | Organization
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Legal Business Name | VISION LABORATORIES LLC
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 6130 SHALLOWFORD ROAD SUITE 100
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3188
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Country | US
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Telephone | 423-529-3742
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Fax | 423-490-7384
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Provider Business Mailing Address
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Address Line | 6130 SHALLOWFORD RD SUITE 100
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7222
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Country | US
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Telephone | 423-529-3742
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Fax | 423-490-7384
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN V DRESKIN
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Credential | MD
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Telephone | 423-529-3742
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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 | TN
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