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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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