Organization
GEN X LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOMO EBANKS (OWNER)
(914) 406-1096
Entity
Organization
Contact information
Practice address
8191 W US 290,, AUSTIN, TX 78736
(914) 406-1096
Mailing address
8191 W US 290,, AUSTIN, TX 78736
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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