US Genetics Lab, LLC

Primary specialty

Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X

Legal business name

US GENETICS LAB, LLC

Practice address

2769 Sunridge Heights Pkwy
Henderson, NV 89052-5048

Phone

(702) 701-8239

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Robert Scott Chilton

Title

Chief Operating Officer

Phone

(818) 858-1082

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1043797541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD STE 550",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364793",
            "telephone_number": "818-858-1082",
            "fax_number": "323-729-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 SUNRIDGE HEIGHTS PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525048",
            "telephone_number": "702-701-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US GENETICS LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "CHILTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "818-858-1082",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Molecular Genetics Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Molecular Genetics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.