Provider Demographics
NPI:1952866824
Name:HNL GENETICS LLC
Entity Type:Organization
Organization Name:HNL GENETICS LLC
Other - Org Name:CONNECTIVE TISSUE GENE TESTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACTING PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:484-425-8150
Mailing Address - Street 1:794 ROBLE RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-9110
Mailing Address - Country:US
Mailing Address - Phone:484-425-8170
Mailing Address - Fax:484-425-8220
Practice Address - Street 1:6575 SNOWDRIFT RD STE 106
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9371
Practice Address - Country:US
Practice Address - Phone:484-244-2900
Practice Address - Fax:484-244-2904
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH NETWORK LABORATORIES LIMITED PARTNERSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-05
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory