Organization
GENOTEC DX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS HIMPLER (CEO)
(225) 303-1055
Entity
Organization
Contact information
Practice address
10199 WOODFIELD LN, OLIVETTE, MO 63132-2922
(225) 303-1055
Mailing address
10199 WOODFIELD LN, SAINT LOUIS, MO 63132-2922
(225) 303-1055
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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