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General NPI Number Information
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NPI Number | 1992501027
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Entity Type | Organization
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Legal Business Name | LABWORX NORTHEAST LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 13027 HWY 155 S STE 500
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City | TYLER
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State | TX
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Zip | 75703-6560
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Country | US
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Telephone | 845-558-5390
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Fax |
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Provider Business Mailing Address
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Address Line | 167 ROUTE 304
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City | BARDONIA
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State | NY
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Zip | 10954-2050
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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 | MANAGER
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Name | ERIC NEWHOUSE
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Credential |
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Telephone | 845-558-5390
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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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