Organization
GENTECH LABORATORIES OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE THAYER (PRESIDENT)
(408) 614-7182
Entity
Organization
Contact information
Practice address
750 STORY RD, SAN JOSE, CA 95122-2604
(408) 614-7182
Mailing address
750 STORY RD, SAN JOSE, CA 95122-2604
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
04/18/2023
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