Organization
PERSONALIZED GENETIC TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA BORODOWSKY (OWNER)
(305) 978-8590
Entity
Organization
Contact information
Practice address
12855 SW 132ND ST, SUITE 101, MIAMI, FL 33186-7207
(305) 978-8590
Mailing address
12855 SW 132ND ST, SUITE 101, MIAMI, FL 33186-7207
(305) 978-8590
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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