Organization
GENCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTYNE PRICE (CEO)
(610) 955-7421
Entity
Organization
Contact information
Practice address
571 ABBOTT DRIVE, BROOMALL, PA 19008
(484) 479-3991
(866) 446-8819
Mailing address
PO BOX 30, ARDMORE, PA 19003
(484) 479-3991
(866) 446-8819
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D0986041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018507830001
—
PA
Enumeration date
09/12/2012
Last updated
06/09/2016
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