Provider Demographics
NPI:1134588817
Name:GENE TOX WORLDWIDE LLC
Entity type:Organization
Organization Name:GENE TOX WORLDWIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-844-9910
Mailing Address - Street 1:136 RIDGE RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1269
Mailing Address - Country:US
Mailing Address - Phone:201-844-9910
Mailing Address - Fax:844-308-4598
Practice Address - Street 1:136 RIDGE RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1269
Practice Address - Country:US
Practice Address - Phone:201-933-1078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory