Organization
GENESIS TESTING AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD G GOODMAN MD (OWNER)
(517) 702-3200
Entity
Organization
Contact information
Practice address
3960 PATIENT CARE WAY, SUITE 113 GT, LANSING, MI 48911-4275
(517) 702-3200
(517) 702-2944
Mailing address
3960 PATIENT CARE WAY, SUITE 113 GT, LANSING, MI 48911-4275
(517) 702-3200
(517) 702-2944
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
06/30/2010
Last updated
07/29/2010
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