Organization
GENESIS DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELMIE DEMEL TEKETAY (CEO)
(320) 223-9727
Entity
Organization
Contact information
Practice address
5014 STONE MOUNTAIN HWY STE H, LILBURN, GA 30047-7710
(678) 899-0161
Mailing address
5014 STONE MOUNTAIN HWY STE H, LILBURN, GA 30047-7710
(678) 899-0161
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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