TRANSLATIONAL GENOMICS RESEARCH INSTITUTE


Address: 3051 W Shamrell Blvd Ste 106, Flagstaff, AZ 86005-9435
Phone: 9282266370

TRANSLATIONAL GENOMICS RESEARCH INSTITUTE (NPI# 1780203638) 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) 1780203638
Entity Type Organization
Organization Name TRANSLATIONAL GENOMICS RESEARCH INSTITUTE
Practice Address 3051 W Shamrell Blvd Ste 106
Flagstaff
AZ 86005-9435
Practice Telephone 9282266370
Practice Fax Number 9785284454
Mailing Telephone 9282266370
Enumeration Date 2020-04-10
Last Update Date 2020-04-10
Authorized Official Name AUDREY OZOLS (REIMBURSEMENT)
Authorized Official Telephone 6023438623
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AZ CLIA 03D2180037 01

Other Provider/Organization Names

Other Name Type Code
Tgen North Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Translational Genomics Research Institute 445 N. 5th St, Suite 600, Phoenix, AZ 85004
Oklahoma Business Registrations TRANSLATIONAL GENOMICS RESEARCH INSTITUTE FOUNDATION 400 E Van Buren St Ste 850, Phoenix, AZ 85004

Office Location

Street Address 3051 W SHAMRELL BLVD STE 106
City FLAGSTAFF
State AZ
Zip Code 86005-9435

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1851776785 Libby Smith Counselor 3240 S. Trotter Lane, Flagstaff, AZ 86005 2015-07-21
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1609488444 Camille Elizabeth Harding Student in an Organized Health Care Education/Training Program 2707 Moenkopi Trl, Flagstaff, AZ 86005-3659 2020-08-22
1568871366 J Wynne Geikenjoyner Physical Therapist 4247 Canyon Loop, Flagstaff, AZ 86005-3726 2014-08-05
1174592380 Carol L. O'saben Psychologist 4289 Canyon Loop, Flagstaff, AZ 86005-3726 2006-03-17
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1528260155 Laura Ann Kinghan Occupational Therapist 3623 Kachina Trail, #8, Flagstaff, AZ 86005-3786 2007-06-05
1114386570 Laurenlee Rae Occupational Therapist 2580 Nakai Trl, Flagstaff, AZ 86005-3796 2016-02-15
1881212439 Diana Campos Specialist/Technologist 3558 Huron, Flagstaff, AZ 86005-4056 2020-07-10
1093218877 Vanessa Margaret Scheu Nurse Practitioner 3861 Jemez, Flagstaff, AZ 86005-4061 2018-03-17
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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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Competitor

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City FLAGSTAFF
Zip Code 86005

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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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