Adventus Education LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVENTUS EDUCATION LLC

Doing business as

GCC Laboratory

Practice address

4820 Business Center Dr Ste 100B
Fairfield, CA 94534-1901

Phone

(707) 927-0027

Fax

(707) 927-0027

NPI assigned

Apr 18, 2020

Last updated

Apr 18, 2020By 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

Michael Joseph McDevitt

Title

Coo, Owner

Phone

(707) 363-6703

Specialties & licenses 1

Addresses

Other names 1

• GCC LABORATORY Doing business as

Electronic endpoints 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

Locations

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587168000000",
    "number": "1154941284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 100B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341901",
            "telephone_number": "707-927-0027",
            "fax_number": "707-927-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 100B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341901",
            "telephone_number": "707-927-0027",
            "fax_number": "707-927-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTUS EDUCATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A",
        "authorized_official_last_name": "MCDEVITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "COO, OWNER",
        "authorized_official_telephone_number": "707-363-6703"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://gcclaboratory.zohocreatorportal.com/",
            "affiliation": "N",
            "address_1": "4820 Business Center Dr Ste 100B",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945341901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GCC LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.