Organization
GENETIC TECHNOLOGICAL INNOVATIONS, LLC
Active
Organization
GENETIC TECHNOLOGICAL INNOVATIONS, LLC
Active
Other names
Genetic Technological Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GLIMCHER (CEO)
(480) 476-8761
Entity
Organization
Contact information
Practice address
13402 N SCOTTSDALE RD STE 190, SCOTTSDALE, AZ 85254-4054
(480) 674-6565
(480) 265-4453
Mailing address
14500 N NORTHSIGHT BLVD STE 100, SCOTTSDALE, AZ 85260-3659
(877) 993-2484
(480) 265-4453
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2071616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3964041
—
TX
05
—
7100347080
—
KY
Enumeration date
01/15/2014
Last updated
10/01/2025
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