Genlab Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

08030004 Issued in IL

Legal business name

GENLAB CORPORATION

Practice address

131 1St St
Bloomingdale, IL 60108-1219

Phone

(630) 539-1500

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mark Pabriaga

Title

Owner

Phone

(630) 539-1500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1316105067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 1ST ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081219",
            "telephone_number": "630-539-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 1ST ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081219",
            "telephone_number": "630-539-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENLAB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PABRIAGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-539-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "08030004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khushabu Gandhi, NP-C
• Ana Lilia Garcia
• Jackie Garcia, D.D.S.
• Toni Gary, LPC
• Gina Gattuso, LCSW
• Genlab Corporation
• Angelo Georgacopoulos, LCPC
• Sweta V George, PA-C
• Gergana Georgieva, PHARMD
• Darryl Jon Giambalvo, DO

• Clinical Medical Laboratory in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.