Provider Demographics
NPI:1336749670
Name:VERITAS GENETICS INC.
Entity type:Organization
Organization Name:VERITAS GENETICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIRZA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIFRIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-507-6619
Mailing Address - Street 1:99 CONIFER HILL DR STE 102
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1194
Mailing Address - Country:US
Mailing Address - Phone:978-880-7524
Mailing Address - Fax:781-325-4797
Practice Address - Street 1:99 CONIFER HILL DR STE 102
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1194
Practice Address - Country:US
Practice Address - Phone:978-880-7524
Practice Address - Fax:781-325-4797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory