Genova Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D0655571 Issued in NC

Legal business name

GENOVA DIAGNOSTICS INC

Practice address

63 Zillicoa St
Asheville, NC 28801-1038

Phone

(828) 210-7321

Fax

(828) 210-7321

NPI assigned

Jan 3, 2006

Last updated

May 10, 2019By 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. Jeffrey William Ledford

Title

President Ceo

Phone

(828) 210-7764

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Great Smokies Diagnostic Laboratory Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Connecticut

  dba Capitol Region Mental Health Center

  • Psychiatric Hospital
  • Hartford, CT
  • NPI 1487689022

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1073591822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ZILLICOA ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011038",
            "telephone_number": "888-540-2199",
            "fax_number": "828-210-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ZILLICOA ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011038",
            "telephone_number": "828-210-7321",
            "fax_number": "828-210-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOVA DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "828-210-7764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0655571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900489",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4490659",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543317700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I54653",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smokies Diagnostic Laboratory",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Great Smokies Diagnostic Laboratory",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Scott Alan Geer, PAC
• Gwendolyn Barron Geisler, DMD
• Genesiscare USA of North Carolina, PA (Genesiscare Surgical Specialists)
• Genesiscare USA of North Carolina, PA (Asheville Urological Associates)
• Genoa Healthcare LLC
• Todd Clement Genre, FNP
• Ronald Joseph Gentile, M.P.T
• Gentle Family Chiropractic Center, P.C.
• Ashley Nicole Gentry
• Carmen Amanda Gentry, PT

• Clinical Medical Laboratory in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.