NPI | 1326510868 |
---|---|
Former Legal Business Name | GENETESIS, LLC |
Entity Type | Organization |
Authorized Contact | JEFFREY BUSH VP, Business Development 303-667-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2018-12-21 |
Last Update Date | 2018-12-21 |