| NPI | 1801226543 |
|---|---|
| Doing Business As | GENEX LABORATORY PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | DAMIEN JOHANN BURGESS CEO 949-610-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 00345153) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2023-05-16 |