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Organization

GENETESIS, INC.

Active
Other names
Genetesis, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY BUSH (VP, BUSINESS DEVELOPMENT)
(303) 667-9788
Entity
Organization

Contact information

Practice address
5412 COURSEVIEW DR STE 150, MASON, OH 45040-2483
(513) 767-7627
Mailing address
5412 COURSEVIEW DR STE 150, MASON, OH 45040-2483
(513) 767-7627

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center

Other

Enumeration date
12/21/2018
Last updated
12/21/2018
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