Genesis Advanced Services Iii, LLC
NPI #1639567787 in Apple Valley, California
Provider Information
- NPI Number
- 1639567787
- Entity Type
- Organization
- Organization Name
- Genesis Advanced Services Iii, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 23, 2014
- Last Updated
- Dec 23, 2014
Practice Location
- Address
- 16130 KOKANEE RD STE 101
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-0833
- Phone
- (805) 416-1648
Authorized Official
- Name
- CORT COLBERT
- Title
- MANAGER
- Phone
- (805) 416-1648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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