Organization
MY GENIUS LAB LLC
Active
Parent organization
MY GENIUS LAB LLC
Other names
GENICS LABORATORIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY GENIUS LAB LLC
Authorized official
KEVIN SETANYAN (MANAGING PARTNER)
(818) 649-8611
Entity
Organization
Contact information
Practice address
655 N CENTRAL AVE STE 1734, GLENDALE, CA 91203-1422
(818) 649-8611
(323) 544-6044
Mailing address
655 N CENTRAL AVE STE 1734, GLENDALE, CA 91203-1422
(818) 649-8611
(323) 544-6044
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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