Organization
IGENOMIX USA LLC
Active
Other names
Igenomix USA, Ivigen dba Igenomix USA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ARTESIA JACKSON (REGIONAL ACCOUNT MANAGER)
(888) 959-3968
Entity
Organization
Contact information
Practice address
7955 NW 12TH ST STE 415, DORAL, FL 33126-1823
(305) 501-4948
(786) 401-7546
Mailing address
7955 NW 12TH ST STE 415, DORAL, FL 33126-1823
(305) 501-4948
(786) 401-7546
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027055
FL
Other
Enumeration date
02/25/2014
Last updated
12/01/2020
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