Organization
TRANSLATIONAL GENOMICS RESEARCH INSTITUTE
Active
Other names
Tgen North
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY OZOLS (REIMBURSEMENT)
(602) 343-8623
Entity
Organization
Contact information
Practice address
3051 W SHAMRELL BLVD STE 106, FLAGSTAFF, AZ 86005-9435
(928) 226-6370
(978) 528-4454
Mailing address
3051 W SHAMRELL BLVD STE 106, FLAGSTAFF, AZ 86005-9435
(928) 226-6370
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2180037
CLIA
AZ
Enumeration date
04/10/2020
Last updated
04/10/2020
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