Organization
REPROGENETICS OREGON
Active
Parent organization
COOPERGENOMICS,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPERGENOMICS,INC
Authorized official
MR. ALAN TUCKER (CFO)
(203) 601-9808
Entity
Organization
Contact information
Practice address
808 SW 15TH AVE, PORTLAND, OR 97205-1907
(203) 601-5200
Mailing address
10 FRANKLINS WAY, GUILFORD, CT 06437-2193
(203) 453-7416
(203) 453-7416
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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