Progenity Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROGENITY INC.

Practice address

5230 S State Rd
Ann Arbor, MI 48108-7936

Phone

(855) 293-2639

Fax

(248) 848-1623

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Howard Slutsky

Title

Senior Vice President

Phone

(855) 293-2639

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1114222817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 S STATE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481087936",
            "telephone_number": "855-293-2639",
            "fax_number": "248-848-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 S STATE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481087936",
            "telephone_number": "855-293-2639",
            "fax_number": "248-848-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "SLUTSKY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "855-293-2639"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23 D 2018899",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "7534637-01",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.