Organization Active NPI

Dna Med Tuning

  • Clinical Medical Laboratory
  • Hartford, CT
National Provider Identifier
1174179972
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DNA MED TUNING
Practice address
10 Jefferson St Unit C3
Hartford, CT 06106-2515
Phone
(860) 246-1360
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Mohan R Kocherla
Title
President
Phone
(860) 246-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10 Jefferson St Unit C3
Hartford, CT 06106-2515

Mailing address

10 Jefferson St Unit C3
Hartford, CT 06106-2515
Phone (860) 246-1360

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2160761Laboratory for Dna-Guided Medicine10 Jefferson St, Unit C3, Hartford, CT 06106ComplianceJul 28, 2027

National Provider Directory

National Provider Directory

Locations

10 Jefferson St
Unit C3
Hartford, CT 06106
Phone (860) 246-1360

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1174179972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JEFFERSON ST UNIT C3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062515",
            "telephone_number": "860-246-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JEFFERSON ST UNIT C3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062515",
            "telephone_number": "860-246-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA MED TUNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "KOCHERLA",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-246-1360"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.