Express Gene LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXPRESS GENE LLC

Practice address

9000 SW 152ND St Ste 209
Palmetto Bay, FL 33157-1942

Phone

(786) 250-3419

Fax

(786) 250-3074

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Ali Faghihi, M.D., PH.D.NPI 1124667217

Title

Laboratory Director

Phone

(786) 250-3419

Specialties & licenses 1

Addresses

Other names 1

• EXPRESS GENE MOLECULAR DIAGNOSTICS LABORATORY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Ali Faghihi, M.D., PH.D.

  • Molecular Genetic Pathology (Pathology) Physician
  • Palmetto Bay, FL
  • NPI 1124667217
  NPD Authorized official

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1184255606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND STREET",
            "address_2": "SUITE 209",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "786-250-3419",
            "fax_number": "786-250-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST STE 209",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571942",
            "telephone_number": "786-250-3419",
            "fax_number": "786-250-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS GENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "FAGHIHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "786-250-3419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS GENE MOLECULAR DIAGNOSTICS LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.