Selah Genomics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SELAH GENOMICS INC

Practice address

411 University RDG
Next Center, Suite a
Greenville, SC 29601-3762

Phone

(864) 751-4815

Fax

(864) 751-4825

NPI assigned

Jul 18, 2011

Last updated

Oct 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Bolick

Title

Ceo

Phone

(864) 751-4815

Specialties & licenses 1

Addresses

Other names 1

• Reedy Aquisition Corp Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1003104597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 UNIVERSITY RDG",
            "address_2": "NEXT CENTER, SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013762",
            "telephone_number": "864-751-4815",
            "fax_number": "864-751-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 UNIVERSITY RDG",
            "address_2": "NEXT CENTER, SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013762",
            "telephone_number": "864-751-4815",
            "fax_number": "864-751-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH GENOMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "BOLICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-751-4815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reedy Aquisition Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Seifert, PHARM.D.
• Natasha Seifried
• Robert Sanders Seigler Sr., M.D.
• Samuel Seigler
• Lindsey Catherine Seitz, PA-C
• Beth Marie Selbee
• Select One Home Care Services and Products LLC
• Kim H Selent, M.ED., CCC-SLP
• Angela Sell
• Kayla Lynn Sellars

• Clinical Medical Laboratory in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.