Organization Active NPI

Genetics of Memphis, Inc

  • Clinical Medical Laboratory
  • Memphis, TN
National Provider Identifier
1144308479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0000004047 Issued in TN
Legal business name
GENETICS OF MEMPHIS, INC
Practice address
1770 Moriah Woods Blvd Ste 3
Memphis, TN 38117-7126
Phone
(901) 685-0333
Fax
(901) 683-9666
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
S. A. Tharapel, PHD
Title
Director
Phone
(901) 685-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0000004047 TN Primary

Addresses

Primary practice location

1770 Moriah Woods Blvd Ste 3
Memphis, TN 38117-7126

Mailing address

1770 Moriah Woods Blvd Ste 3
Memphis, TN 38117-7126
Phone (901) 685-0333

Other identifiers 1

IdentifierTypeStateIssuer
05587754MedicaidMS

National Provider Directory

National Provider Directory

Locations

1770 Moriah Woods Blvd
Memphis, TN 38117
Phone (901) 685-0333

1770 Moriah Woods Blvd
Ste 3
Memphis, TN 38117
Phone (901) 685-0333

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144308479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 MORIAH WOODS BLVD STE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177126",
            "telephone_number": "901-685-0333",
            "fax_number": "901-448-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MORIAH WOODS BLVD STE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177126",
            "telephone_number": "901-685-0333",
            "fax_number": "901-683-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETICS OF MEMPHIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THARAPEL",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-685-0333",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000004047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05587754",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.