ESOTERIX GENETIC LABORATORIES, LLC (NPI# 1043511496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043511496 |
| Entity Type | Organization |
| Organization Name | ESOTERIX GENETIC LABORATORIES, LLC |
| Practice Address |
12906 Tampa Oaks Blvd Ste 300 Temple Terrace FL 33637-1153 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 8139799442 |
| Mailing Telephone | 8002227566 |
| Mailing Fax Number | 3364361048 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2013-05-15 |
| 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 | 10D0710783 | 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 |
| 1588965941 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 8300 Old Courthouse Rd Ste 240, Vienna, VA 22182-3822 | 2010-11-16 |
| 1467753814 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 4310 E Cotton Center Blvd Ste 120, Phoenix, AZ 85040-8857 | 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 |
| Street Address |
12906 TAMPA OAKS BLVD STE 300 |
| City | TEMPLE TERRACE |
| State | FL |
| Zip Code | 33637-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677846 | Ivory Jewels Hha LLC | Home Health | 7320 E. Fletcher Ave Suite 127, Tampa, FL 33637 | 2019-06-06 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| 1669854857 | Tatessica Cooley | Counselor | 7403 Temple Terrace Highway, Suite B, Tampa, FL 33637 | 2015-06-24 |
| 1336526854 | Lisa Magliarditi | Physical Therapist | 12110 Morris Brige Road, 3rd Floor Therapy Suite, Tampa, FL 33637 | 2015-05-05 |
| 1225472277 | Amber Kuzma | Behavioral Analyst | 7025 Ponderosa Dr, Tampa, FL 33637 | 2013-04-22 |
| 1326315516 | Christopher L. Leitten | Psychologist | 9710 Woodland Ridge Dr., Tampa, FL 33637 | 2011-11-16 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 1912129800 | Alison Brothers | Speech-Language Pathologist | 8800 Grand Oak Circle, Suite 450, Tampa, FL 33637 | 2007-05-02 |
| 1427187020 | Nauman A. Siddiqi | Internal Medicine | 7523 Terrace River Drive, Temple Terrace, FL 33637 | 2007-03-02 |
| 1205945243 | Florida Orthopaedic Institute Surgery Center LLC | Clinic/Center | 13060 Telecom Parkway, Temple Terrace, FL 33637 | 2006-08-30 |
| Find all providers in zip 33637 | ||||
| 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 |
|---|---|---|---|---|
| 1851664916 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 13005 N Telecom Pkwy Ste 104, Temple Terrace, FL 33637-0944 | 2012-02-20 |
| 1104054006 | Mds Digital X-ray Inc | Clinical Medical Laboratory | 5620 E Fowler Ave, Ste F, Temple Terrace, FL 33617-2372 | 2009-06-30 |
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| 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 | TEMPLE TERRACE |
| Zip Code | 33637 |
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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.