| NPI | 1790939643 |
|---|---|
| Other Name | DBA GENEX LABORATORY SERVICES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00337819) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2018-06-20 |