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NPI 1396837605

NPI 1396837605 : IGENEX INC : MILPITAS, CA

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General NPI Number Information
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    NPI Number           |    1396837605
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    Entity Type          |    Organization 
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    Legal Business Name  |    IGENEX INC 
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Dates
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    Enumeration Date     |    09/28/2006
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    Last Update Date     |    03/02/2026
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Provider Practice Location Address
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    Address Line         |    556 GIBRALTAR DR 
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    City                 |    MILPITAS
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    State                |    CA
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    Zip                  |    95035-6315
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    Country              |    US
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    Telephone            |    800-832-3200
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    Fax                  |    650-424-1196
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Provider Business Mailing Address
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    Address Line         |    556 GIBRALTAR DR 
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    City                 |    MILPITAS
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    State                |    CA
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    Zip                  |    95035-6315
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    Country              |    US
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    Telephone            |    800-832-3200
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    Fax                  |    650-424-1196
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Authorized Official
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    Title or Position    |    CEO/ LAB DIRECTOR
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    Name                 |    DR. JYOTSNA S SHAH 
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    Credential           |    PH.D.
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    Telephone            |    800-832-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    
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