GENESIS TESTING AND THERAPY (NPI# 1013228436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013228436 |
Entity Type | Organization |
Organization Name | GENESIS TESTING AND THERAPY |
Practice Address |
3960 Patient Care Way Suite 113 Gt Lansing MI 48911-4275 |
Practice Telephone | 5177023200 |
Practice Fax Number | 5177022944 |
Mailing Telephone | 5177023200 |
Mailing Fax Number | 5177022944 |
Enumeration Date | 2010-06-30 |
Last Update Date | 2010-07-29 |
Authorized Official Name | DR. FLOYD G GOODMAN (OWNER) |
Authorized Official Telephone | 5177023200 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities | ||
N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities | ||
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
3960 PATIENT CARE WAY SUITE 113 GT |
City | LANSING |
State | MI |
Zip Code | 48911-4275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245203645 | Ghiulser Selim | Family Medicine | 3960 Patient Care Way, Suite 108, Lansing, MI 48911-4275 | 2006-02-08 |
1528472008 | Tarsha Gibson | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-06-12 |
1407279201 | Anne Nesvacil Jones | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-29 |
1356764617 | Mary Hunter | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-22 |
1023449444 | Demarcus Evans | Social Worker | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-12-11 |
1982039798 | Meghan Diane Banks | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-09-11 |
1437591286 | T'shara Cannon | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-07-22 |
1902244361 | Amelia Louise Shelton | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-06-07 |
1154688943 | Capital Home Care, Inc. | Home Health | 3960 Patient Care Way, Suite 116, Lansing, MI 48911-4275 | 2012-04-18 |
1285907899 | Professional Associates In Rehabilitation LLC | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2012-02-13 |
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---|---|---|---|---|
1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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---|---|---|---|---|
1508285339 | Physician Coverage Services | Clinic/Center | 2310 E Michigan Ave, Lansing, MI 48912-4018 | 2014-04-09 |
1386784874 | Family Therapy Connections | Clinic/Center | 2815 S Pennsylvania Ave, Suite #2, Lansing, MI 48910-3496 | 2007-02-07 |
1528096963 | Lansing Orthopedic PC | Clinic/Center | 3370 E Jolly Rd, Lansing, MI 48910 | 2006-06-28 |
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1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
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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.