Organization
GENTOX LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED KIONI (OWNER)
(972) 891-5015
Entity
Organization
Contact information
Practice address
4372 SPRING VALLEY RD, FARMERS BRANCH, TX 75244-3701
(972) 891-5015
Mailing address
4372 SPRING VALLEY RD, FARMERS BRANCH, TX 75244-3701
(972) 891-5015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2062168
TX
Other
Enumeration date
04/21/2016
Last updated
06/15/2021
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