Organization
GENESIS LABORATORY MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRON J FLETCHER (CFO)
(908) 692-3154
Entity
Organization
Contact information
Practice address
1912 ROUTE 35 STE 202, OAKHURST, NJ 07755-2768
(732) 389-1530
(732) 389-0352
Mailing address
1912 ROUTE 35 STE 203, OAKHURST, NJ 07755-2768
(732) 389-1530
(732) 389-0352
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
31D1103468
NJ
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
08/17/2009
Last updated
01/24/2023
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