Organization
GENTOX LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DEE SWEENEY JD (OWNER)
(941) 518-0066
Entity
Organization
Contact information
Practice address
1704 E GREENVILLE ST, ANDERSON, SC 29621-7914
(941) 518-0066
Mailing address
1704 E GREENVILLE ST, ANDERSON, SC 29621-7914
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D2095287
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42D2095287
CLIA CERTIFICATION
SC
Enumeration date
06/01/2015
Last updated
06/01/2015
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