Organization
GENEX LABORATORY PROFESSIONAL CORPORATION
Active
Organization
GENEX LABORATORY PROFESSIONAL CORPORATION
Active
Other names
Genex Laboratory Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIEN JOHANN BURGESS DC, APRN, NP-C (CEO)
(949) 610-7253
Entity
Organization
Contact information
Practice address
3151 AIRWAY AVE STE M1, COSTA MESA, CA 92626-4626
(949) 610-7253
(949) 610-7253
Mailing address
3151 AIRWAY AVE STE M1, COSTA MESA, CA 92626-4626
(949) 610-7253
(949) 610-7253
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 00345153
CA
Other
Enumeration date
11/15/2013
Last updated
05/16/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up