Genesis Genetics Institute, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

H4426 Issued in MI

Legal business name

GENESIS GENETICS INSTITUTE, LLC

Practice address

1380 E Jefferson Ave
Detroit, MI 48207-3104

Phone

(313) 579-9650

NPI assigned

Dec 6, 2008

Last updated

Dec 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Hughes, MD, PH.D

Title

Managing Partner

Phone

(313) 579-9650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228521600000",
    "number": "1326283276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073104",
            "telephone_number": "313-579-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073104",
            "telephone_number": "313-579-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS GENETICS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-06",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "313-579-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "H4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.