Provider Demographics
NPI:1952156622
Name:GENEWELL LABS LLC
Entity Type:Organization
Organization Name:GENEWELL LABS LLC
Other - Org Name:GENEWELL LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:HAFEEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-617-8550
Mailing Address - Street 1:PO BOX 920588
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30010-0588
Mailing Address - Country:US
Mailing Address - Phone:214-662-9353
Mailing Address - Fax:844-941-1992
Practice Address - Street 1:13601 PRESTON RD STE 360E
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4903
Practice Address - Country:US
Practice Address - Phone:214-964-0100
Practice Address - Fax:844-941-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory