Provider Demographics
NPI:1205221710
Name:GENEX LABORATORIES, LLC
Entity Type:Organization
Organization Name:GENEX LABORATORIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:832-982-2500
Mailing Address - Street 1:9301 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 255
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1510
Mailing Address - Country:US
Mailing Address - Phone:832-982-2500
Mailing Address - Fax:
Practice Address - Street 1:9301 SOUTHWEST FWY
Practice Address - Street 2:SUITE 365
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1510
Practice Address - Country:US
Practice Address - Phone:832-844-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory