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General NPI Number Information
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NPI Number | 1982296190
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Entity Type | Organization
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Legal Business Name | ACCELERATED CLINICAL LABORATORIES LLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 10101 W INNOVATION DR STE 600
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City | WAUWATOSA
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State | WI
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Zip | 53226-4824
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Country | US
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Telephone | 414-807-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 9075 W HEATHER AVE
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City | MILWAUKEE
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State | WI
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Zip | 53224-2411
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Country | US
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Telephone | 414-807-5400
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | OLIVER PLUNKETT
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Credential |
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Telephone | 262-409-9033
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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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