Organization
NATIONAL GENETICS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
2311 PONTIUS AVE, LOS ANGELES, CA 90064-1809
(310) 996-0036
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0935390
CLIA
—
Enumeration date
11/29/2012
Last updated
02/24/2014
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