| NPI | 1356863302 | 
|---|---|
| Other Name | GENESIS GENETICS | 
| Entity Type | Organization | 
| Authorized Contact | ALAN TUCKER CFO 203-601-9808 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2017-07-12 | 
| Last Update Date | 2017-07-12 |