Organization
ABSOLUTE GENOMICS PHL LLC
Active
Parent organization
ABSOLUTE GENOMICS LLC
Other names
Absolute Genomics LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABSOLUTE GENOMICS LLC
Authorized official
MEGHA PATEL (OWNER)
(888) 544-3041
Entity
Organization
Contact information
Practice address
1300 OLD PLANK RD, MAYFIELD, PA 18433-1973
(314) 209-9200
Mailing address
4482 WOODSON RD, SAINT LOUIS, MO 63134-3722
(888) 544-3041
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
05/24/2021
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