Organization
GENOVA DIAGNOSTICS INC
Active
Organization
GENOVA DIAGNOSTICS INC
Active
Parent organization
GENOVA DIAGNOSTICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENOVA DIAGNOSTICS INC
Authorized official
MR. JEFFREY WILLIAM LEDFORD (CEO)
(828) 210-7764
Entity
Organization
Contact information
Practice address
3425 CORPORATE WAY, DULUTH, GA 30096-2552
(678) 638-2918
(678) 638-2919
Mailing address
3425 CORPORATE WAY, DULUTH, GA 30096-2552
(678) 638-2918
(678) 638-2919
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
11D0255349
GA
Other
Enumeration date
07/17/2012
Last updated
05/10/2019
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