Provider Demographics
NPI:1366101685
Name:FUTUREGENERATION LABORATORIES LLC
Entity type:Organization
Organization Name:FUTUREGENERATION LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-419-0229
Mailing Address - Street 1:1704 AVENIDA LA POSTA
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5610
Mailing Address - Country:US
Mailing Address - Phone:917-721-4499
Mailing Address - Fax:
Practice Address - Street 1:3703 CAMINO DEL RIO S STE 100A-B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4031
Practice Address - Country:US
Practice Address - Phone:619-419-0229
Practice Address - Fax:619-505-9106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory