Organization
PHENOGEN SCIENCES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS STUART (GENERAL MANAGER)
(877) 992-7382
Entity
Organization
Contact information
Practice address
9115 HARRIS CORNERS PKWY, SUITE 320, CHARLOTTE, NC 28269-3706
(877) 992-7382
(704) 926-5707
Mailing address
9115 HARRIS CORNERS PKWY, SUITE 320, CHARLOTTE, NC 28269-3706
(877) 992-7382
(704) 926-5707
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
11/21/2011
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