# GEN LABORATORIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KOVO CAPITAL VENTURES LLC
- **Other names:** GENETIC DIAGNOSTIC LABORATORIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467451872
- **Legal business name:** KOVO CAPITAL VENTURES LLC
- **Authorized official:** MR. MARK KOVINSKY (PRESIDENT)
- **Authorized official phone:** (484) 494-3121

## Contact information

- **Practice address:** 490 DELAWARE AVE, BUFFALO, NY 14202-1304
- **Practice address phone:** (716) 881-4865
- **Practice address fax:** (716) 881-5081
- **Mailing address:** 490 DELAWARE AVENUE, BUFFALO, NY 14202-1304
- **Mailing address phone:** (716) 881-4865
- **Mailing address fax:** (716) 881-5081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SC0300X | Clinical Cytogenetics Physician | 33D0169767 PFI 3356 | NY | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 04/09/2014