Active NPI
Genetics Institute of America Laboratory FL1 Corp
- Clinical Medical Laboratory
- Delray Beach, FL
National Provider Identifier
1023677499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Contact@GenLabUs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200213002311 | FL | Part B Supplier - Independent Clinical Laboratory | 1850727660 | Practice locations: Delray Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2166884 | Genetics Institute of America | Accreditation | Aug 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
4733 W Atlantic Ave
Ste 12C
Delray Beach, FL 33445
Interoperability endpoints
- 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.