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General NPI Number Information
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NPI Number | 1992686240
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Entity Type | Organization
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Legal Business Name | AXIS CLINICAL DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9034 E EASTER PL STE 103
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City | CENTENNIAL
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State | CO
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Zip | 80112-2104
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Country | US
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Telephone | 615-810-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 9034 E EASTER PL STE 103
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City | CENTENNIAL
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State | CO
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Zip | 80112-2104
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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 | OWNER
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Name | SEYI FALEKUN
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Credential | PHD, DABCC
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Telephone | 615-810-2433
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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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