EVOLVEGENE, LLC (NPI# 1366989808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366989808 |
| Entity Type | Organization |
| Organization Name | EVOLVEGENE, LLC |
| Practice Address |
12105 28th St N Unit A Saint Petersburg FL 33716-1817 |
| Practice Telephone | 7276234052 |
| Practice Fax Number | 7272028148 |
| Mailing Telephone | 7276234052 |
| Mailing Fax Number | 7272028148 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Authorized Official Name | MR. MIKE CECCHI (PRESIDENT) |
| Authorized Official Telephone | 2036415622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
12105 28TH ST N UNIT A |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33716-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316994 | Gryffin's Talon LLC | Clinical Medical Laboratory | 5601 Corporate Way Ste 108, West Palm Beach, FL 33407-2041 | 2020-11-06 |
| 1811598899 | Precision Diagnostix LLC | Clinical Medical Laboratory | 917 Se Lincoln Ave, Stuart, FL 34994-3810 | 2020-11-05 |
| 1134729700 | New Millennium Training LLC | Clinical Medical Laboratory | 20124 Central Ave W, Blountstown, FL 32424-1943 | 2020-10-31 |
| 1962002501 | Impak Diagnostics Laboratory 'llc' | Clinical Medical Laboratory | 5885 Margate Blvd, Margate, FL 33063-2834 | 2020-10-30 |
| 1346840485 | Millenia Advanced Scientific LLC | Clinical Medical Laboratory | 4303 Vineland Rd Ste F10, Orlando, FL 32811-7372 | 2020-10-28 |
| 1922607886 | Emed Labs LLC | Clinical Medical Laboratory | 990 Biscayne Blvd Ste 1501, Miami, FL 33132-1559 | 2020-10-21 |
| 1033718333 | Jmj Labs LLC Dba Arcpoint Labs of Saint Petersburg | Clinical Medical Laboratory | 4713 66th St N, Kenneth City, FL 33709-3113 | 2020-10-19 |
| 1134728405 | Biolabs Diagnostics LLC | Clinical Medical Laboratory | 7865 Sw Ellipse Way, Stuart, FL 34997-7247 | 2020-10-19 |
| 1013516319 | Axe Analytics, LLC | Clinical Medical Laboratory | 917 Se Lincoln Ave Ste B, Stuart, FL 34994-3810 | 2020-10-19 |
| 1497352082 | Medlab Diagnostics, LLC | Clinical Medical Laboratory | 1430 S Dixie Hwy Ste 320, Coral Gables, FL 33146-3175 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on EVOLVEGENE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.