Organization
GENESIS MEDICAL LABORATORY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERIBERTO ERNESTO MARTINEZ (PRESIDENT)
(305) 882-1051
Entity
Organization
Contact information
Practice address
6504 NW 77TH CT, MIAMI, FL 33166-2710
(305) 261-5333
Mailing address
6504 NW 77TH CT, MIAMI, FL 33166-2710
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
05/06/2019
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