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1700403425
GENESIS PROJECT MEDICAL LABORATORY
CHARLOTTE, NC
NPI
1700403425
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Entity Type
Organization
Authorized Contact
TRASHA J BLACK
Executive Director
704-596-0505
Organization Subpart ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2020-06-29
Last Update Date
2021-03-31
Business Address
GENESIS PROJECT MEDICAL LABORATORY
1000 ANDERSON ST STE A
CHARLOTTE, NC 28205-1216
Phone number: 704-596-0505
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Mailing Address
GENESIS PROJECT MEDICAL LABORATORY
5104 REAGAN DR STE 5
CHARLOTTE, NC 28206-1392
Phone number: 704-596-0505
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