Organization
IGENOMEDX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITI VANEE PHD (CEO & PRESIDENT)
(210) 257-6973
Entity
Organization
Contact information
Practice address
2040 BABCOCK RD STE 201, SAN ANTONIO, TX 78229-4428
(210) 257-6973
Mailing address
2040 BABCOCK RD STE 201, SAN ANTONIO, TX 78229-4428
(210) 257-6973
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/19/2016
Last updated
04/13/2022
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