Provider Demographics
NPI:1982111423
Name:GENELEX LLC
Entity Type:Organization
Organization Name:GENELEX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-826-1962
Mailing Address - Street 1:3101 WESTERN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3017
Mailing Address - Country:US
Mailing Address - Phone:206-382-9591
Mailing Address - Fax:206-219-4000
Practice Address - Street 1:3101 WESTERN AVE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3017
Practice Address - Country:US
Practice Address - Phone:206-382-9591
Practice Address - Fax:206-219-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory