Organization
GENEWELL LABS LLC
Active
Other names
GeneWell Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARIQ HAFEEZ (CEO)
(404) 617-8550
Entity
Organization
Contact information
Practice address
13601 PRESTON RD STE 360E, DALLAS, TX 75240-4903
(214) 964-0100
(844) 941-1992
Mailing address
PO BOX 920588, PEACHTREE CORNERS, GA 30010-0588
(214) 662-9353
(844) 941-1992
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
05/16/2024
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