Organization
GENTEST DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DODD LEVY (PRESIDENT)
(202) 302-8491
Entity
Organization
Contact information
Practice address
13341 OLD ANNAPOLIS RD, MOUNT AIRY, MD 21771-7734
(202) 302-8491
Mailing address
13341 OLD ANNAPOLIS RD, MOUNT AIRY, MD 21771-7734
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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