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Contact Information

GENESIS LABORATORY MANAGEMENT, LLC
1912 ROUTE 35 STE 202
OAKHURST, NJ07755-2768
 Phone: 732-389-1530
 Fax: 732-389-0352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for GENESIS LABORATORY MANAGEMENT, LLC

NPI # 1346472859
LBN Legal business name GENESIS LABORATORY MANAGEMENT, LLC
Authorized official SHARRON FLETCHER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2009
Last updated 01/24/2023 - About 3 years ago
Identifiers
NJ License # 31D1103468
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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