ESOTERIX GENETIC LABORATORIES, LLC


Address: 4310 E Cotton Center Blvd Ste 120, Phoenix, AZ 85040-8857
Phone: 6022546620

ESOTERIX GENETIC LABORATORIES, LLC (NPI# 1467753814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467753814
Entity Type Organization
Organization Name ESOTERIX GENETIC LABORATORIES, LLC
Practice Address 4310 E Cotton Center Blvd Ste 120
Phoenix
AZ 85040-8857
Mailing Address Po Box 2240
Burlington
NC 27216-2240
Practice Telephone 6022546620
Mailing Telephone 8002227566
Mailing Fax Number 3364361048
Enumeration Date 2010-11-16
Last Update Date 2013-08-15
Authorized Official Name MR. WILLIAM B HAYES (CFO EVP TREASURER)
Authorized Official Telephone 8002227566
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CLIA 03D0856238 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124536107 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 3 Forest Pkwy, Shelton, CT 06484-6122 2018-01-12
1659672004 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 533 W 57th St, New York, NY 10019-2901 2010-11-16
1043511496 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 12906 Tampa Oaks Blvd, Ste 300, Temple Terrace, FL 33637-1153 2010-11-16
1588965941 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 8300 Old Courthouse Rd Ste 240, Vienna, VA 22182-3822 2010-11-16
1649572017 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 3400 Computer Dr, Westborough, MA 01581-1771 2010-11-17
1679874028 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 1054 W Town and Country Rd, Orange, CA 92868-4716 2010-11-16
1801197256 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 2000 Vivigen Way, Santa Fe, NM 87505-5600 2010-11-16
1023319407 Esoterix Genetic Laboratories, LLC Clinic/Center 2440 S Sepulveda Blvd, Ste 100, Los Angeles, CA 90064-1784 2010-11-16
1922309376 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 17772 17th St, Suite 200 Room 217, Tustin, CA 92780-1944 2010-11-16
1689975021 Esoterix Genetic Laboratories, LLC Clinical Medical Laboratory 3400 Computer Dr, Westborough, MA 01581-1771 2010-11-16

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ESOTERIX GENETIC LABORATORIES, LLC 3400 Computer Dr, Westborough, MA 01581-1771
Colorado Business Entities Esoterix Genetic Laboratories, LLC 531 South Spring Street, Burlington, NC 27215
Massachusetts Corporations ESOTERIX GENETIC LABORATORIES, LLC 231 Maple Avenue, Burlington, NC 27215
Ohio Business Entities ESOTERIX GENETIC LABORATORIES, LLC 358 South Main Street, Burlington, NC 27215
Oklahoma Business Registrations ESOTERIX GENETIC LABORATORIES, LLC 358 S Main St, Burlington, NC 27215

Office Location

Street Address 4310 E COTTON CENTER BLVD STE 120
City PHOENIX
State AZ
Zip Code 85040-8857

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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Competitor

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City PHOENIX
Zip Code 85040

Improve Information

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Dataset Information

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.

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