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Organization

GENESIS MEDICAL DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EWAN DOUGLAS JOHNSON MD,PHD (CEO)
(281) 516-0212
Entity
Organization

Contact information

Practice address
455 SCHOOL ST STE 30, TOMBALL, TX 77375-4595
(800) 951-0182
(832) 565-1921
Mailing address
14090 FM 2920 RD STE 345G, TOMBALL, TX 77377-5549
(281) 415-6687

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45D2245371
HHS
TX
Enumeration date
01/26/2022
Last updated
01/26/2022
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