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NPI 1134559685

OrganizationActive

Advanta Genetics LLC

NPI 1134559685 · Clinical Medical Laboratory · Tyler, TX

Provider details

NPI number: 1134559685
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Authorized official: Charles Guilbault, Ceo

Practice location

10935 County Road 159

Tyler, TX 75703-3333

Phone: (903) 805-9955

Fax: (903) 839-2494

More TX providers

Mailing address

10935 County Road 159

Tyler, TX 75703-3333

Registry dates

Enumerated: 2013-11-20
Last updated: 2026-04-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Advanta Genetics LLC — NPI 1134559685, Tyler, TX | NPI Central