Organization
MYGENOMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOEB AHMAD PHD (OWNER)
(855) 647-4363
Entity
Organization
Contact information
Practice address
11535 PARK WOODS CIR, SUITE E, ALPHARETTA, GA 30005-4490
(855) 647-4363
Mailing address
11535 PARK WOODS CIR, SUITE E, ALPHARETTA, GA 30005-4490
(855) 647-4363
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
02/21/2014
Last updated
02/10/2024
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