Evolvegene, LLC
Clinical Medical Laboratory in Saint Petersburg, FL. Organization (NPI-2).
NPI number1366989808
StatusActive
Last updated in NPPESJan 23, 2017
Details
- NPI
- 1366989808
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolvegene, LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2017
- Last updated
- Jan 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
12105 28th St NUnit A
Saint Petersburg, FL 33716-1817
Phone 727-623-4052 · Fax 727-202-8148
Mailing address
12105 28th St NUnit A
Saint Petersburg, FL 33716-1817
Phone 727-623-4052 · Fax 727-202-8148
Authorized official
Mike Cecchi
President
2036415622
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