GRANGER GENETICS, LLC (NPI# 1740631605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740631605 |
| Entity Type | Organization |
| Organization Name | GRANGER GENETICS, LLC |
| Practice Address |
6784 Lake Ellenor Dr Orlando FL 32809-4636 |
| Mailing Address |
601 Biotech Dr Suite 301 North Chesterfield VA 23235-5167 |
| Practice Telephone | 8049153845 |
| Practice Fax Number | 8046482641 |
| Mailing Telephone | 8049153845 |
| Mailing Fax Number | 8046482641 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | MRS. ELIZABETH BOSTWICK (OWNER) |
| Authorized Official Telephone | 8049153845 |
| Authorized Official Credential | M.B.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 800028179 | FL | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRANGER GENETICS, LLC | 601 Biotech Drive, North Chesterfield, VA 23235-5167 |
| Street Address |
6784 LAKE ELLENOR DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-4636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| 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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|---|---|---|---|---|
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| 1962048173 | Metro Treatment of Florida, Lp | Clinical Medical Laboratory | 5794 S Semoran Blvd, Orlando, FL 32822-4819 | 2019-11-22 |
| 1174090724 | Applied Ingenuity Diagnostics LLC | Clinical Medical Laboratory | 10920 Moss Park Rd Ste 124, Orlando, FL 32832-6087 | 2018-10-31 |
| 1689190449 | Pinpoint Testing - Florida LLC | Clinical Medical Laboratory | 4201 Vineland Rd Ste I12, Orlando, FL 32811-6631 | 2017-08-14 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| 1982091617 | Genesis Reference Laboratories, LLC | Clinical Medical Laboratory | 7924 Forest City Rd Ste 210, Orlando, FL 32810-2925 | 2015-04-21 |
| 1528314309 | X-press Medical Laboratory Inc. | Clinical Medical Laboratory | 6239 Edgewater Dr Ste D10, Orlando, FL 32810-4733 | 2012-07-30 |
| 1265794945 | Pandora Genomics LLC | Clinical Medical Laboratory | 518 S Magnolia Ave, Suite 100, Orlando, FL 32801-3712 | 2012-06-08 |
| 1699035691 | Assured Toxicology Solutions, LLC | Clinical Medical Laboratory | 4201 Vineland Rd, Suite I-12, Orlando, FL 32811-7486 | 2012-05-23 |
| 1366723991 | X-celerated Permits, Inc. | Clinical Medical Laboratory | 1026 W Central Blvd, Suite 300, Orlando, FL 32805-1811 | 2011-09-09 |
| Find all providers in ORLANDO | ||||
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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.