Organization
VISIGENE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FONNIE MORRIS (COO)
(440) 251-4106
Entity
Organization
Contact information
Practice address
2100 W ROOSEVELT RD, BROADVIEW, IL 60155-3957
(312) 895-1776
Mailing address
2100 W ROOSEVELT RD, BROADVIEW, IL 60155-3957
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
11/28/2022
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