| NPI | 1992998157 |
|---|---|
| Doing Business As | IVERSON GENETIC DIAGNOSTICS INC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH CLOUSE CEO 720-284-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTSC.FS.600017885) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-5156) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2016-11-02 |