Provider Demographics
NPI:1801783519
Name:TRU GENES PATERNITY TESTING
Entity type:Organization
Organization Name:TRU GENES PATERNITY TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAKARI
Authorized Official - Middle Name:
Authorized Official - Last Name:FONVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-878-4363
Mailing Address - Street 1:156 W CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-4807
Mailing Address - Country:US
Mailing Address - Phone:757-376-1620
Mailing Address - Fax:833-878-4364
Practice Address - Street 1:108 AMERICAN LEGION RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5657
Practice Address - Country:US
Practice Address - Phone:833-878-4363
Practice Address - Fax:833-878-4363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory