Organization
GENOTOX LABORATORIES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FREDERICK MCCARTY MD (CEO)
(512) 600-6601
Entity
Organization
Contact information
Practice address
2170 WOODWARD, SUITE 100, AUSTIN, TX 78744-1074
(512) 600-6601
(512) 600-6602
Mailing address
2170 WOODWARD, SUITE 100, AUSTIN, TX 78744-1074
(512) 600-6601
(512) 600-6602
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
TX
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3313918
—
TX
Enumeration date
11/29/2012
Last updated
07/21/2022
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