Organization
RXGENOMIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY P TICE PHARMD, MBA (PRESIDENT & CEO)
(615) 574-9638
Entity
Organization
Contact information
Practice address
3501 ROBBINS NEST RD, THOMPSONS STATION, TN 37179-5387
(615) 574-9638
Mailing address
3501 ROBBINS NEST RD, THOMPSONS STATION, TN 37179-5387
(615) 574-9638
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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