Organization Active NPI

Granger Genetics LLC

  • Clinical Medical Laboratory
  • North Chesterfield, VA
National Provider Identifier
1295190635
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
49D2106421 Issued in VA
Legal business name
GRANGER GENETICS LLC
Practice address
601 Biotech Dr
Suite 301
North Chesterfield, VA 23235-5167
Phone
(804) 915-3845
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Authorized official

Name
Mrs. Elizabeth Rafferty
Title
Owner
Phone
(844) 347-2643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 49D2106421 VA Primary

Addresses

Primary practice location

601 Biotech Dr
Suite 301
North Chesterfield, VA 23235-5167

Mailing address

601 Biotech Dr
Suite 301
North Chesterfield, VA 23235-5167
Phone (844) 347-2643

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
49D2106421Granger Genetics, LLC601 Biotech Drive - Suite 301, Richmond, VA 23235AccreditationSep 24, 2027

National Provider Directory

National Provider Directory

Locations

601 Biotech Dr
Ste 301
North Chesterfield, VA 23235
Phone (804) 915-3845

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1295190635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BIOTECH DR",
            "address_2": "SUITE 301",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355167",
            "telephone_number": "844-347-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BIOTECH DR",
            "address_2": "SUITE 301",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355167",
            "telephone_number": "804-915-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER GENETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-347-2643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": "49D2106421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.