Organization
GENESIS GENETICS INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HUGHES MD, PH.D (MANAGING PARTNER)
(313) 579-9650
Entity
Organization
Contact information
Practice address
1380 E JEFFERSON AVE, DETROIT, MI 48207-3104
(313) 579-9650
Mailing address
1380 E JEFFERSON AVE, DETROIT, MI 48207-3104
(313) 579-9650
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
H4426
MI
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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