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NPI Code Detail

MEDICARE: GENEMARKERS LLC

MEDICARE: GENEMARKERS LLC
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770909319
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENEMARKERS LLC
Provider Business Mailing Address
First Line : 126 E SOUTH ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-4810
Country : US
Telephone Number : 269-337-4145
Fax Number : 844-272-9914
Provider Business Practice Location Address
First Line : 126 E SOUTH ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-4810
Country : US
Telephone Number : 269-337-4145
Fax Number :
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : CHRISTIE LYNN DANDO
Credential : FACMPE
Telephone Number : 269-337-4145
Provider Enumeration Date : 03/06/2014
Last Update Date : 12/05/2019

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Directions to “GENEMARKERS LLC ” Practice Location

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