Organization
NVIRA GENETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MUSAITEF (ADMIN)
(262) 705-9900
Entity
Organization
Contact information
Practice address
2510 DOUGLAS AVE, RACINE, WI 53402-4316
(262) 705-9900
Mailing address
2510 DOUGLAS AVE, RACINE, WI 53402-4316
(262) 622-6260
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
11/02/2022
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