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Organization

GENNEXTIC LLC

Active
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Organization

GENNEXTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER DEAN DIXON LAB TEC, MEDICAL ASS (OWNER)
(804) 429-7818
Entity
Organization

Contact information

Practice address
4108 W HUNDRED RD, CHESTER, VA 23831-1731
(804) 429-7818
(804) 429-7818
Mailing address
4108 W HUNDRED RD, CHESTER, VA 23831-1731
(804) 429-7818
(804) 429-7818

Taxonomy

Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
261QG0250X
Genetics Clinic/Center
Primary
261QH0100X
Health Service Clinic/Center
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
11/18/2025
Last updated
11/18/2025
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