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Premier Genomics LLC

Clinical Medical Laboratory in Shenandoah, TX. Organization (NPI-2).

NPI number1407330574
StatusActive
Last updated in NPPESSep 24, 2018

Details

NPI
1407330574
Entity type
Organization (NPI-2)
Legal business name
Premier Genomics LLC
Organization subpart
No
Enumeration date
Sep 24, 2018
Last updated
Sep 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

250 Ed English Dr Ste D
Shenandoah, TX 77385-8019

Phone 936-231-8027

Mailing address

Po Box 7979
Spring, TX 77387-7979

Authorized official

Adrianna Villarreal
Manager
2142956703

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