Active NPI
Granger Genetics LLC
- Clinical Medical Laboratory
- North Chesterfield, VA
National Provider Identifier
1295190635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 49D2106421
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2106421 | Granger Genetics, LLC | Accreditation | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Compounding Pharmacy
- North Chesterfield, VA
- NPI 1689252744
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.