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NPI Code Detail

MEDICARE: CENTER FOR GENETIC SERVICES, INC

MEDICARE: CENTER FOR GENETIC SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1427054675
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR GENETIC SERVICES, INC
Provider Business Mailing Address
First Line : PO BOX 2240
Second Line :
City : BURLINGTON
State : NC
Zip : 27216-2240
Country : US
Telephone Number : 800-222-7566
Fax Number : 336-436-1048
Provider Business Practice Location Address
First Line : 133 E DAVIS ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5816
Country : US
Telephone Number : 800-222-7566
Fax Number :
Authorized Official
Title or Position : EVP AND TRESURER
Name : MR. BRADFORD T SMITH
Credential :
Telephone Number : 800-222-7566
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/22/2020

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