GENESIS LABORATORY MANAGEMENT, LLC
Medical Laboratory in Tinton Falls, NJ

License number
New Jersey 31D1103468
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. DAVID PORTMAN
Title: OWNER-REGISTERED AGENT
Phone: (732) 389-1530
Address
Address
142 Suite #208, Tinton Falls, NJ 07724
National Provider ID: 1346472859
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENESIS LABORATORY MANAGEMENT LLC

Tinton Falls, NJ

Industry:
Management Services
Registration:
Mar 9, 2011
Phone:
(732) 389-1530 (Phone)
Addresses:
142 State Hwy 35 SUITE 208, Eatontown, NJ 07724 (Physical)
142 State Rte 35, Tinton Falls, NJ 07724
State ID:
4065022
Business type:
Foreign Limited Liability Company
Accountants:
David Portman (Managing Member, Owner),Jeniella Ma (Accountant)
Categories:
Medical Diagnostic Clinics, Medical Laboratories

GENESIS LABORATORY MANAGEMENT LLC

Eatontown, NJ

Registration:
Dec 10, 2008
State ID:
0400261928
Business type:
LLC

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