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Organization

GENTECH LABORATORIES LLC

Active
Other names
GenTech Diagnostics
Organization subpart
No

Provider details

NPI number
Authorized official
VINCE THAYER (CEO)
(214) 797-6734
Entity
Organization

Contact information

Practice address
4403 N BELTWOOD PKWY STE 100, DALLAS, TX 75244-3216
(214) 797-6734
(972) 499-9199
Mailing address
1801 W OLYMPIC BLVD, FILE 2634, PASADENA, CA 91199
(214) 797-6734
(972) 499-9199

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2100263
TX

Other

Enumeration date
02/22/2017
Last updated
11/11/2024
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