Organization
MINERVA GENETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE MITCHELL PHD (CEO)
(915) 244-5318
Entity
Organization
Contact information
Practice address
5130 GATEWAY BLVD E, SUITE 315, EL PASO, TX 79905-1608
(915) 244-5318
(888) 823-7076
Mailing address
5130 GATEWAY BLVD E, SUITE 315, EL PASO, TX 79905-1608
(915) 244-5318
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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