Organization
GENASSIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VITALI (MANAGER)
(818) 441-1664
Entity
Organization
Contact information
Practice address
8101 E BELLEVIEW AVE, SUITE J, DENVER, CO 80237-2903
(818) 441-1664
Mailing address
1153 BERGEN PKWY, SUITE M-451, EVERGREEN, CO 80439-9501
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
06D0510759
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06D0510759
CLIA
CO
Enumeration date
05/08/2009
Last updated
06/03/2009
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