Organization
UNIVERSAL GENETICS LLC
Active
Other names
Advanced Diagnostics LLC, Advanced Genetics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KU MD (MEDICAL DIRECTOR)
(626) 930-8700
Entity
Organization
Contact information
Practice address
604 E HUNTINGTON DR STE A, MONROVIA, CA 91016-6351
(626) 930-8700
Mailing address
604 E HUNTINGTON DR STE A, MONROVIA, CA 91016-6351
(626) 930-8700
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2197124
CLIA
CA
Enumeration date
11/27/2020
Last updated
11/27/2020
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