Genotec DX, LLC
Organization Active NPI Clinical Medical Laboratory · Olivette, MO
NPI 1275934721 · NPPES record last updated Sep 15, 2014
Key facts
- NPI
- 1275934721
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- GENOTEC DX, LLC
- Practice address
- 10199 Woodfield LN
Olivette, MO 63132-2922 - Phone
- (225) 303-1055
- NPI assigned
- Sep 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Carlos Himpler
- Title
- Ceo
- Phone
- (225) 303-1055
National Provider Directory
Locations
10199 Woodfield Ln
Ste 20
Saint Louis, MO 63132
Phone (314) 720-8585
10199 Woodfield Ln
Ste 2
Saint Louis, MO 63132
Phone (314) 720-8585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
10199 Woodfield LN
Olivette, MO 63132-2922
Mailing address
10199 Woodfield LN
Saint Louis, MO 63132-2922
Phone (225) 303-1055
Other providers in Olivette, MO
- Jordan Garber
- Theresa Marie Garbo
- Madelyn Grace Gardner
- Maddison Garner
- Gateway Oral Health Foundation
- Jane Chandler Gibbons
- Mariah Marie Gibson
- Rachel Glass
- Israa Golam
- Rebecca S. M. Goldman
All providers in Olivette, MO · Clinical Medical Laboratory in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.