Organization
MYGENETX LABORATORY LLC
Active
Other names
Lifetime Sciences
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DAWN COPELAND (COO)
(615) 550-5880
Entity
Organization
Contact information
Practice address
9 MEDICAL PKWY STE 108, FARMERS BRANCH, TX 75234-7868
(615) 550-5880
Mailing address
6029 BELT LINE RD, SUITE 210, DALLAS, TX 75254-9109
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/26/2013
Last updated
08/03/2023
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