INVITRO GENETICS, LLC (NPI# 1386198059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386198059 |
| Entity Type | Organization |
| Organization Name | INVITRO GENETICS, LLC |
| Other Organization Name | GENESIS GENETICS |
| Practice Address |
705 S Main St Plymouth MI 48170-2089 |
| Mailing Address |
75 Corporate Dr Trumbull CT 06611-1350 |
| Practice Telephone | 3135799650 |
| Mailing Telephone | 2036015200 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | ALAN TUCKER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2036019808 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOPERGENOMICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Genesis Genetics | Doing Business As Name - Organization |
| Street Address |
705 S MAIN ST |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700247962 | Jenelle Mazaris | Marriage & Family Therapist | 705 S Main St, Suite 280, Plymouth, MI 48170-2089 | 2016-03-16 |
| 1730554395 | Breanna Dowis | Physical Therapy Assistant | 705 S Main St, 220, Plymouth, MI 48170-2089 | 2015-12-08 |
| 1881069763 | Hear Better Centers, LLC | Audiologist | 705 S Main St, Suite 205, Plymouth, MI 48170-2089 | 2015-12-03 |
| 1578937793 | Ryan Keeley | Physical Therapy Assistant | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-11-27 |
| 1952775876 | Lohitha Dinnipalle | Physical Therapist | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-11-16 |
| 1306217849 | Carol Timothy | Occupational Therapy Assistant | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-10-09 |
| 1134502644 | Steven Vaculik | Physical Therapist | 705 S Main St, Ste 220, Plymouth, MI 48170-2089 | 2015-07-01 |
| 1124409834 | Zain Shamoon | Marriage & Family Therapist | 705 S Main St, Suite 280, Plymouth, MI 48170-2089 | 2015-06-18 |
| 1508247545 | Carli Paoletti | Occupational Therapist | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-06-16 |
| 1851779599 | Eleanor Zaloom | Physical Therapist | 705 S Main St, Plymouth, MI 48170-2089 | 2015-05-14 |
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|---|---|---|---|---|
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| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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. |
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| 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.