Organization Active NPI

Genetics Institute of America Laboratory FL1 Corp

  • Clinical Medical Laboratory
  • Delray Beach, FL
National Provider Identifier
1023677499
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENETICS INSTITUTE OF AMERICA LABORATORY FL1 CORP
Practice address
4733 W Atlantic Ave Ste C16
Delray Beach, FL 33445-3706
Phone
(561) 455-2162
Fax
(561) 354-5369
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Holly Magliochetti
Title
Ceo
Phone
(561) 445-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4733 W Atlantic Ave Ste C16
Delray Beach, FL 33445-3706

Mailing address

4733 W Atlantic Ave Ste 12C
Delray Beach, FL 33445-3890
Phone (561) 475-3069

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Contact@GenLabUs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213002311 FL Part B Supplier - Independent Clinical Laboratory 1850727660 Practice locations: Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2166884Genetics Institute of America4733 W Atlantic Ave Suite C-16, Delray Beach, FL 33445AccreditationAug 24, 2027

National Provider Directory

National Provider Directory

Locations

4733 W Atlantic Ave
Ste 12C
Delray Beach, FL 33445

Interoperability endpoints

  • Direct secure messaging: contact@genlabus.com

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1023677499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 W ATLANTIC AVE STE 12C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453890",
            "telephone_number": "561-475-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 W ATLANTIC AVE STE C16",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453706",
            "telephone_number": "561-455-2162",
            "fax_number": "561-354-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETICS INSTITUTE OF AMERICA LABORATORY FL1 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "MAGLIOCHETTI",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-445-2162"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Contact@GenLabUs.com",
            "affiliation": "N",
            "endpointDescription": "GIA Contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4733 W Atlantic Ave Ste C16",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334453706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.