Organization
GENOMIC PREDICTION CLINICAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KETTERSON (CHIEF OPERATING OFFICER)
(908) 612-6332
Entity
Organization
Contact information
Practice address
671 US HIGHWAY 1, NORTH BRUNSWICK, NJ 08902-3360
(973) 529-4223
Mailing address
671 US HIGHWAY 1, NORTH BRUNSWICK, NJ 08902-3360
(973) 529-4223
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/16/2022
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