Organization
LIFEVAULT BIO, INC.
Active
Other names
GoodCell
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE HERMAN (PROGRAM MANAGER)
(800) 772-0593
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR STE 1231, CHICAGO, IL 60611-4546
(800) 772-0593
Mailing address
50 WASHINGTON ST FL 12, NORWALK, CT 06854-2710
(800) 772-0593
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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