GENETICARE LABORATORY INC.


Address: 2901 Union Rd, Suite 250, Saint Louis, MO 63125-3972
Phone: 3142003109

GENETICARE LABORATORY INC. (NPI# 1649636275) 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) 1649636275
Entity Type Organization
Organization Name GENETICARE LABORATORY INC.
Practice Address 2901 Union Rd
Suite 250
Saint Louis
MO 63125-3972
Practice Telephone 3142003109
Practice Fax Number 3142003107
Mailing Telephone 3142003109
Mailing Fax Number 3142003107
Enumeration Date 2016-01-12
Last Update Date 2016-01-12
Authorized Official Name MRS. DEBBIE LYNN CAMILLO (OWNER)
Authorized Official Telephone 6183442920
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 26D2014386 MO Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
MO CLIA 26D2014386 01

Office Location

Street Address 2901 UNION RD
SUITE 250
City SAINT LOUIS
State MO
Zip Code 63125-3972

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750572699 Family Medical Care Center, LLC Family Medicine 2901 Union Rd, Suite 100, Saint Louis, MO 63125-3972 2007-08-06
1245639673 Missouri Healthcare LLC Family Medicine 2901 Union Rd, Unit 205b, Saint Louis, MO 63125-3972 2014-08-21
1932513587 Missouri Healthcare General Practice 2901 Union Rd, Ste 250 B, Saint Louis, MO 63125-3972 2014-06-11
1376864983 Catanzaro Medical Services, Inc. Internal Medicine 2901 Union Rd, Suite 250, Saint Louis, MO 63125-3972 2010-06-17

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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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City SAINT LOUIS
Zip Code 63125

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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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