# GENETICHUB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BioHub, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295140655
- **Authorized official:** MR. DAVID ROSS CLYMER (PRESIDENT)
- **Authorized official phone:** (417) 434-1001

## Contact information

- **Practice address:** 509 S WALL AVE, SUITE C, JOPLIN, MO 64801-2523
- **Practice address phone:** (888) 696-3352
- **Practice address fax:** (650) 434-3984
- **Mailing address:** 509 S WALL AVE, SUITE C, JOPLIN, MO 64801-2523
- **Mailing address phone:** (888) 696-3352
- **Mailing address fax:** (650) 434-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251X00000X | Supports Brokerage Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2014
- **Last updated:** 06/24/2014