Organization

Granger Genetics, Llc

Clinical Medical Laboratory in Orlando, FL(View on Map)

Legal Business Name

Granger Genetics, Llc

NPI Number

1740631605

NPI Type

Organization

Enumeration Date

06/22/2016

Specialties

(Taxonomies)

Code

291U00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

800028179

Contact
Information

Purpose

Mailing
Location

Address

601 BIOTECH DR
6784 LAKE ELLENOR DR

City

North Chesterfield
Orlando

State

VA
FL

Postal Code

23235-5167
32809-4636

Country

US
US

Telephone Number

(804) 915-3845
(804) 915-3845

Authorized Official

Name

Mrs. Elizabeth Bostwick

Title or Position

OWNER

Telephone Number

(804) 915-3845

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/22/2016

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