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General NPI Number Information
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NPI Number | 1982549572
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Entity Type | Organization
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Legal Business Name | EVERLIGHT PRECISION LABORATORY LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 19269 FM 2252 STE 100B
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2579
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Country | US
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Telephone | 210-233-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 19269 FM 2252 STE 100B
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City | GARDEN RIDGE
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State | TX
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Zip | 78266-2579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MORRIS GREGORY RAGAN
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Credential |
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Telephone | 210-445-9975
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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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