Provider Demographics
NPI:1730482720
Name:KAILOS GENETICS, LLC
Entity type:Organization
Organization Name:KAILOS GENETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-327-9801
Mailing Address - Street 1:601 GENOME WAY
Mailing Address - Street 2:SUITE 2005
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2908
Mailing Address - Country:US
Mailing Address - Phone:256-327-9800
Mailing Address - Fax:256-327-9810
Practice Address - Street 1:601 GENOME WAY
Practice Address - Street 2:SUITE 2005
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2908
Practice Address - Country:US
Practice Address - Phone:256-327-9800
Practice Address - Fax:256-327-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory