Organization
TEXANA LABS INC
Active
Other names
center for human genetics
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO QUEVEDO (PRESIDENT)
(888) 572-7022
Entity
Organization
Contact information
Practice address
700 ALBANY ST, BOSTON, MA 02118-2518
(888) 572-7022
Mailing address
5424 LAUREL CANYON BLVD, STE 155, VALLEY VILLAGE, CA 91607-4612
(888) 572-7022
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
22D0650242
MA
Other
Enumeration date
08/30/2010
Last updated
09/01/2010
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