| NPI | 1720408081 |
|---|---|
| Doing Business As | GENOMICARE |
| Entity Type | Organization |
| Authorized Contact | BARBARA C CALDWELL Director 702-478-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NV NV20141102535) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |