NPIMap

Organization Active NPI

Genetesis, Inc.

  • Health Service Clinic/Center
  • Mason, OH
National Provider Identifier
1326510868
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GENETESIS, INC.
Practice address
5412 Courseview Dr Ste 150
Mason, OH 45040-2483
Phone
(513) 767-7627
NPI assigned
Dec 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Authorized official

Name
Jeffrey Bush
Title
VP, Business Development
Phone
(303) 667-9788

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

5412 Courseview Dr Ste 150
Mason, OH 45040-2483

Mailing address

5412 Courseview Dr Ste 150
Mason, OH 45040-2483
Phone (513) 767-7627

Other names 1

  • Genetesis, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5412 Courseview Dr
Ste 150
Mason, OH 45040
Phone (513) 767-7627

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1326510868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 COURSEVIEW DR STE 150",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402483",
            "telephone_number": "513-767-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 COURSEVIEW DR STE 150",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402483",
            "telephone_number": "513-767-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETESIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "VP, BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "303-667-9788"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genetesis, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.