Provider Demographics
NPI:1750046793
Name:ANALYTICAL GENETICS LLC
Entity Type:Organization
Organization Name:ANALYTICAL GENETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAEED
Authorized Official - Middle Name:
Authorized Official - Last Name:RAEES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:678-995-3860
Mailing Address - Street 1:11705 JONES BRIDGE RD STE A203
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5080
Mailing Address - Country:US
Mailing Address - Phone:678-995-3860
Mailing Address - Fax:
Practice Address - Street 1:11705 JONES BRIDGE RD STE A203
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30005-5080
Practice Address - Country:US
Practice Address - Phone:678-995-3860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANALYTICAL GENETICS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty