PERSONALIZED GENETIC TESTING (NPI# 1962951079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962951079 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED GENETIC TESTING |
| Practice Address |
12855 Sw 132nd St Suite 101 Miami FL 33186-7207 |
| Practice Telephone | 3059788590 |
| Mailing Telephone | 3059788590 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | IRINA BORODOWSKY (OWNER) |
| Authorized Official Telephone | 3059788590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | FL | Laboratories |
| Street Address |
12855 SW 132ND ST SUITE 101 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-7207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881870475 | E & M Healthcare Center Inc | Clinic/Center | 12855 Sw 132nd St, Suite 102a, Miami, FL 33186-7209 | 2008-01-14 |
| 1437501038 | Benito Reyes II | Technician, Other | 12855 Sw 132nd St, Miami, FL 33186-7207 | 2016-07-07 |
| 1528419249 | Leysi Valdes | Technician, Other | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-23 |
| 1881044238 | Claudia Santana | Behavior Technician | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-16 |
| 1609226984 | Ivelis Cervantes Valladare | Technician, Other | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-16 |
| 1972953495 | Giselle Garcia | Counselor | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-15 |
| 1598114324 | Martha Lidia Campos | Technician, Other | 12855 Sw 132nd St, Miami, FL 33186-7207 | 2016-06-13 |
| 1871942649 | Miriam Luisa Reyes | Technician, Other | 12855 Sw 132nd St, Miami, FL 33186-7207 | 2016-06-12 |
| 1568811719 | Yenny Leza Diaz | Technician, Other | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-08 |
| 1770932923 | Mercy Martin | Technician, Other | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| 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 |
|---|---|---|---|---|
| 1922607886 | Emed Labs LLC | Clinical Medical Laboratory | 990 Biscayne Blvd Ste 1501, Miami, FL 33132-1559 | 2020-10-21 |
| 1649830613 | Caledonia Derm-path LLC | Clinical Medical Laboratory | 7091 Sw 47th St, Miami, FL 33155-4652 | 2019-06-20 |
| 1649765660 | Spark Inspiration Laboratory LLC | Clinical Medical Laboratory | 101 Ne 54th St, Miami, FL 33137-2415 | 2018-06-22 |
| 1003263567 | Sherice Malagon-king | Clinical Medical Laboratory | 13727 Sw 152nd St # 647, Miami, FL 33177-1106 | 2016-05-15 |
| 1295199446 | Igea Research Corporation | Clinical Medical Laboratory | 2600 Sw 3rd Ave, Suite 350, Miami, FL 33129-2330 | 2016-04-13 |
| 1841652666 | University of Miami | Clinical Medical Laboratory | 1400 Nw 12th Ave Fl 4, Miami, FL 33136-1003 | 2016-03-22 |
| 1811367386 | Salud | Clinical Medical Laboratory | 13212 Sw 127th Ct, Miami, FL 33186-6362 | 2015-09-28 |
| 1427472844 | Excellent Laboratories Inc | Clinical Medical Laboratory | 7290 Sw 42 Street, Miami, FL 33155 | 2014-02-05 |
| 1376887117 | Idalia M Santaella Md LLC | Clinical Medical Laboratory | 2307 Douglas Rd, Suite 203, Miami, FL 33145-3056 | 2012-11-17 |
| 1619246261 | Tc Foundation, Inc | Clinical Medical Laboratory | 7805 Coral Way Ste 110, Miami, FL 33155-6539 | 2011-12-27 |
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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.