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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