Organization
GRANGER GENETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH RAFFERTY (OWNER)
(844) 347-2643
Entity
Organization
Contact information
Practice address
601 BIOTECH DR, SUITE 301, NORTH CHESTERFIELD, VA 23235-5167
(804) 915-3845
Mailing address
601 BIOTECH DR, SUITE 301, NORTH CHESTERFIELD, VA 23235-5167
(844) 347-2643
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D2106421
VA
Other
Enumeration date
12/30/2015
Last updated
09/08/2017
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