Provider Demographics
NPI:1245915032
Name:RGEN LABS LLC
Entity type:Organization
Organization Name:RGEN LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-965-3289
Mailing Address - Street 1:6211 COLLEYVILLE BLVD
Mailing Address - Street 2:ST 100
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-6299
Mailing Address - Country:US
Mailing Address - Phone:347-246-3103
Mailing Address - Fax:
Practice Address - Street 1:6211 COLLEYVILLE BLVD
Practice Address - Street 2:ST 100
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6299
Practice Address - Country:US
Practice Address - Phone:530-965-3289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory