NPIMap

Organization Active NPI

Brli Genpath Diagnostics, Inc

  • Clinical Medical Laboratory
  • Milford, MA
National Provider Identifier
1083986905
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
22D0960221 Issued in MA
Legal business name
BRLI GENPATH DIAGNOSTICS, INC
Practice address
25 Birch St
Building C, 3Rd Floor
Milford, MA 01757-3585
Phone
(800) 229-5227
Fax
(201) 791-1941
NPI assigned
Feb 8, 2012
Organization subpart
Yes
Parent organization
BIO REFERENCE LABORATORIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Gregory S Henderson
Title
President
Phone
(800) 229-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 22D0960221 MA Primary

Addresses

Primary practice location

25 Birch St
Building C, 3Rd Floor
Milford, MA 01757-3585

Mailing address

481 Edward H Ross Dr
Elmwood Park, NJ 07407-3118
Phone (800) 229-5227

Other names 1

  • GenPath Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brli Genpath Diagnostics Inc6 organizations share this tax ID, including this one
Part of
Bio Reference Lab Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1083986905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 EDWARD H ROSS DR",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073118",
            "telephone_number": "800-229-5227",
            "fax_number": "201-791-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BIRCH ST",
            "address_2": "BUILDING C, 3RD FLOOR",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573585",
            "telephone_number": "800-229-5227",
            "fax_number": "201-791-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRLI GENPATH DIAGNOSTICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIO REFERENCE LABORATORIES, INC.",
        "enumeration_date": "2012-02-08",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-229-5227",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": "22D0960221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GenPath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.