Medical Genetics Lab
NPI #1023229713 in Mountain Home, Tennessee
Provider Information
- NPI Number
- 1023229713
- Entity Type
- Organization
- Organization Name
- Medical Genetics Lab
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 24, 2007
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- BUILDING 178, MAPLE AVE.
- City
- Mountain Home
- State
- Tennessee
- ZIP Code
- 37684
- Phone
- (423) 439-7320
Authorized Official
- Name
- MR. RUSSELL E LEWIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (423) 433-6050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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