Organization
GENOVA DIAGNOSTICS INC
Active
Organization
GENOVA DIAGNOSTICS INC
Active
Other names
Great Smokies Diagnostic Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WILLIAM LEDFORD (PRESIDENT CEO)
(828) 210-7764
Entity
Organization
Contact information
Practice address
63 ZILLICOA ST, ASHEVILLE, NC 28801-1038
(828) 210-7321
(828) 210-7321
Mailing address
63 ZILLICOA ST, ASHEVILLE, NC 28801-1038
(888) 540-2199
(828) 210-7321
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0655571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4490659
—
TN
05
—
543317700
—
MN
05
—
8900489
—
NC
05
—
I54653
—
OR
Enumeration date
01/03/2006
Last updated
05/10/2019
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