Organization
IMMUNOGENOMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TWINKLE PATEL (CEO)
(850) 849-2554
Entity
Organization
Contact information
Practice address
400 E LIVE OAK AVE, ARCADIA, CA 91006-5619
(832) 500-4462
(832) 376-7548
Mailing address
400 E LIVE OAK AVE, ARCADIA, CA 91006-5619
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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