Organization
GENETICS PROVIDERS LLC
Active
Organization
GENETICS PROVIDERS LLC
Active
Parent organization
FPG LABS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FPG LABS LLC
Authorized official
ROBERT SCOTT CHILTON (CHIEF OPERATING OFFICER)
(818) 858-1082
Entity
Organization
Contact information
Practice address
125 COOL SPRINGS BLVD STE 220, FRANKLIN, TN 37067-6475
(833) 700-4363
Mailing address
15821 VENTURA BLVD STE 550, ENCINO, CA 91436-4793
(818) 858-1080
(323) 729-3933
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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