Organization
GENESIS ADVANCED SERVICES III, LLC
Active
Organization
GENESIS ADVANCED SERVICES III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORT COLBERT (MANAGER)
(805) 416-1648
Entity
Organization
Contact information
Practice address
16130 KOKANEE RD STE 101, APPLE VALLEY, CA 92307-0833
(805) 416-1648
Mailing address
16130 KOKANEE RD STE 101, APPLE VALLEY, CA 92307-0833
(805) 416-1648
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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