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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CLIA | 03D0856238 | 01 |
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 |
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 |
Street Address |
4310 E COTTON CENTER BLVD STE 120 |
City | PHOENIX |
State | AZ |
Zip Code | 85040-8857 |
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---|---|---|---|---|
1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
Find all providers in zip 85040 |
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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1154809937 | Volentedx Scottsdale, LLC | Clinical Medical Laboratory | 4530 E Shea Blvd Ste 165, Phoenix, AZ 85028-6042 | 2018-08-02 |
1376038950 | Dbw Diagnostics, LLC | Clinical Medical Laboratory | 2414 W Sierra St, Phoenix, AZ 85029-3425 | 2018-06-26 |
1558851519 | Prorenata Labs LLC | Clinical Medical Laboratory | 8222 S 48th St Ste 210, Phoenix, AZ 85044-5303 | 2018-05-15 |
1528561362 | Beacon Biomedical Inc. | Clinical Medical Laboratory | 275 N Gateway Dr Ste 149, Phoenix, AZ 85034-1700 | 2018-03-16 |
1518473263 | Cutaneous Neurodiagnostics, LLC | Clinical Medical Laboratory | 5070 N 40th St Ste 125, Phoenix, AZ 85018-2193 | 2017-12-18 |
1174044127 | Daniel Fernandez Hernandez | Clinical Medical Laboratory | 5323 W Odeum Ln, Phoenix, AZ 85043-6595 | 2017-06-29 |
1104346386 | Greysky Diagnostics LLC | Clinical Medical Laboratory | 906 W Roosevelt St Ste 2, Phoenix, AZ 85007-2106 | 2017-06-20 |
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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.