Organization
PROTEUS GENOMICS, LLC
Active
Organization
PROTEUS GENOMICS, LLC
Active
Parent organization
PROTEUS MOLECULAR AND CLINICAL LAB LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROTEUS MOLECULAR AND CLINICAL LAB LLC
Authorized official
MICHAEL GRIFFITH (MEMBER/MANAGER)
(205) 478-7302
Entity
Organization
Contact information
Practice address
6766 U S HIGHWAY 98 STE 1B, HATTIESBURG, MS 39402-8443
(601) 549-4182
Mailing address
6766 U S HIGHWAY 98 STE 1B, HATTIESBURG, MS 39402-8443
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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