| 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 |