Organization
VIDHATA GENOMICS LLC
Active
Other names
VIDHATA GENOMICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUVAS DESAI PHD (LAB DIRECTOR)
(732) 642-1133
Entity
Organization
Contact information
Practice address
4270 RT 1 NORTH, MONMOUTH JUNCTION, NJ 08852
(732) 642-1133
Mailing address
4270 RT 1 NORTH, MONMOUTH JUNCTION, NJ 08852
(732) 642-1133
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1N1364
—
NJ
Enumeration date
09/13/2021
Last updated
05/25/2023
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