| Organization Name: | GENESIS TESTING AND THERAPY |
| NPI Number: | 1013228436 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FLOYD G GOODMAN (OWNER) |
| Mailing Address: | 3960 Patient Care Way Suite 113 Gt Lansing |
| State: | MI US |
| Postal Code: | 489114275 |
| Phone Number: | 5177023200 |
| Fax Number: | 5177022944 |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 07/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QL0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Lithotripsy |
| Taxonomy Definition: | |