Organization
PRO-GENEX LABORATORIES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GRAUSS (PRESIDENT & CEO)
(844) 794-3637
Entity
Organization
Contact information
Practice address
669 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(844) 794-3637
Mailing address
669 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(844) 794-3637
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
11/14/2022
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