Organization
MOLECULAR DIAGNOSTICS LABORATORIES INC
Active
Other names
Molecular Diagnostics and Research Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS GENBAUFFE JR. PH.D. (LABORATORY DIRECTOR)
(855) 841-7111
Entity
Organization
Contact information
Practice address
632 RUSSELL STREET, COVINGTON, KY 41011-2353
(855) 841-7111
(859) 581-4086
Mailing address
632 RUSSELL STREET, COVINGTON, KY 41011-2353
(855) 841-7111
(859) 581-4086
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA 18D1100471
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D1100471
CLIA #
KY
Enumeration date
03/20/2007
Last updated
01/22/2014
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