Provider Demographics
NPI:1518249655
Name:REPRODUCTIVE GENETECHS INSTITUTE INC
Entity Type:Organization
Organization Name:REPRODUCTIVE GENETECHS INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMER
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-529-5151
Mailing Address - Street 1:6 JENNER
Mailing Address - Street 2:STE 130
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3811
Mailing Address - Country:US
Mailing Address - Phone:949-529-5151
Mailing Address - Fax:949-682-2082
Practice Address - Street 1:6 JENNER
Practice Address - Street 2:STE 130
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3811
Practice Address - Country:US
Practice Address - Phone:949-529-5151
Practice Address - Fax:949-682-2082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF00340905291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory