Provider Demographics
NPI:1891087987
Name:G2RESOURCESOLUTIONS, LLC
Entity Type:Organization
Organization Name:G2RESOURCESOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL/SCIENTIFIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAVIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:PICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DSCM
Authorized Official - Phone:817-832-6303
Mailing Address - Street 1:9601 AVENIDA DE LA LUNA NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1603
Mailing Address - Country:US
Mailing Address - Phone:817-832-6303
Mailing Address - Fax:
Practice Address - Street 1:9601 AVENIDA DE LA LUNA NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-1603
Practice Address - Country:US
Practice Address - Phone:817-832-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM246ZG1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZG1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGeneticist, Medical (PhD)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM100780032OtherNM CRS