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General NPI Number Information
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NPI Number | 1992528129
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Entity Type | Organization
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Legal Business Name | URGENT LAB SERVICES LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 6501 ARLINGTON EXPY STE B105
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City | JACKSONVILLE
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State | FL
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Zip | 32211-0810
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Country | US
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Telephone | 904-686-6456
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12351
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City | JACKSONVILLE
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State | FL
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Zip | 32209-0351
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Country | US
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Telephone | 904-686-6456
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Fax | 904-764-0111
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Authorized Official
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Title or Position | OWNER/AUTHORIZED MEMBER
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Name | NEKEA SANDERS
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Credential |
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Telephone | 904-686-6456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #2
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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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