Provider Demographics
NPI:1568608156
Name:GENEX SERVICES, LLC
Entity Type:Organization
Organization Name:GENEX SERVICES, LLC
Other - Org Name:GENEX SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP/ CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-964-5334
Mailing Address - Street 1:440 E SWEDESFORD RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1820
Mailing Address - Country:US
Mailing Address - Phone:610-964-5100
Mailing Address - Fax:
Practice Address - Street 1:440 E SWEDESFORD RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087
Practice Address - Country:US
Practice Address - Phone:610-964-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty