Gencare,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39D0986041 Issued in PA

Legal business name

GENCARE,LLC

Practice address

571 Abbott Drive
Broomall, PA 19008

Phone

(484) 479-3991

Fax

(866) 446-8819

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Christyne Price

Title

Ceo

Phone

(610) 955-7421

Specialties & licenses 1

Addresses

Other identifiers 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

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1194075796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "19003",
            "telephone_number": "484-479-3991",
            "fax_number": "866-446-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 ABBOTT DRIVE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "19008",
            "telephone_number": "484-479-3991",
            "fax_number": "866-446-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CHRISTYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-955-7421",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D0986041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018507830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven J Gallop, O.D.
• Avelina Gargano
• Sanyia Garnett-McLendon
• Linda Diane Garris, RN -REGISTERED NURSE
• Grace Elizabeth Gauld
• Genesis Healthcare
• Genesis Rehab
• Genesis Rehab Services
• Jacob Thomas Geruntho
• Jarred Edward Gettes, DMD

• Clinical Medical Laboratory in Broomall, PA
• Providers in Broomall, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.