Access Genetics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

24D1033809 Issued in MN

Legal business name

ACCESS GENETICS, LLC

Doing business as

OralDNA Labs Inc

Practice address

7400 Flying Cloud Dr
Suite 150
Eden Prairie, MN 55344-3720

Phone

(888) 250-4407

Fax

(952) 942-0703

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Charles McGlennen, M.D.NPI 1568481109

Title

President, Medical Director

Phone

(952) 400-7785

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OralDNA Labs Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 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

Practitioners 1

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

• Ronald C McGlennen, M.D.

  • Ph.D. Medical Genetics
  • Eden Prairie, MN
  • NPI 1568481109
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1265458921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1414",
            "address_2": "MI63",
            "city": "MINNEAPLOIS",
            "state": "MN",
            "postal_code": "554801414",
            "telephone_number": "888-250-4407",
            "fax_number": "952-767-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FLYING CLOUD DR",
            "address_2": "SUITE 150",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443720",
            "telephone_number": "888-250-4407",
            "fax_number": "952-942-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS GENETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "MCGLENNEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-400-7785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "24D1033809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897100000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OralDNA Labs Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.