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

Innovative Genomics LLC

Organization Clinical Medical Laboratory · NPI 1629531769

Innovative Genomics LLC is a Clinical Medical Laboratory in San Antonio, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5410 Fredericksburg Rd Ste 304
San Antonio, TX 78229
Phone: (210) 352-5175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1629531769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diego Chocron — Cfo · (310) 985-2834
NPI enumeratedApril 6, 2019
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing address5410 Fredericksburg Rd Ste 304, San Antonio, TX 78229-3576

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