Organization Active NPI

My Genius Lab LLC

  • Clinical Medical Laboratory
  • San Antonio, TX
National Provider Identifier
1144938747
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MY GENIUS LAB LLC
Practice address
2829 Babcock Rd Ste 426
San Antonio, TX 78229-6012
Phone
(210) 503-0003
Fax
(702) 209-3495
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Kevin Setanyan
Title
Managing Partner
Phone
(818) 649-8611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 426
San Antonio, TX 78229-6012

Mailing address

2829 Babcock Rd Ste 426
San Antonio, TX 78229-6012
Phone (210) 503-0003

Other names 1

  • GENICS LABORATORIES Doing business as

National Provider Directory

National Provider Directory

Locations

3555 Voyager St
Ste 104D
Torrance, CA 90503
Phone (310) 563-7313

5052 S Jones Blvd
Ste 135
Las Vegas, NV 89118
Phone (702) 209-2223

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1144938747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 426",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296012",
            "telephone_number": "210-503-0003",
            "fax_number": "702-209-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 426",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296012",
            "telephone_number": "210-503-0003",
            "fax_number": "702-209-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GENIUS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "SETANYAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-649-8611"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENICS LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GENICS LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.