Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Medical Diagnostics PLLC

Organization Clinical Medical Laboratory · NPI 1245803402

Genesis Medical Diagnostics PLLC is a Clinical Medical Laboratory in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4195 Naco Perrin Blvd
San Antonio, TX 78217-2505
Phone: (210) 276-0045
Fax: (832) 565-1921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1245803402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ewan Johnson — Ceo/Founder · (281) 415-6687
NPI enumeratedJuly 23, 2021
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021
Mailing address14090 Fm 2920 Rd Ste 345g, Tomball, TX 77377-5549

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