Organization
GENETICS OF MEMPHIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. A. THARAPEL PHD (DIRECTOR)
(901) 685-0333
Entity
Organization
Contact information
Practice address
1770 MORIAH WOODS BLVD STE 3, MEMPHIS, TN 38117-7126
(901) 685-0333
(901) 683-9666
Mailing address
1770 MORIAH WOODS BLVD STE 3, MEMPHIS, TN 38117-7126
(901) 685-0333
(901) 448-6676
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000004047
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05587754
—
MS
Enumeration date
11/02/2006
Last updated
08/22/2020
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