NPIMap

Organization Active NPI

Genomas, Inc

Doing business as Laboratory of Personalized Health

  • Clinical Medical Laboratory
  • Hartford, CT
National Provider Identifier
1336325497
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CL-0644 Issued in CT
Legal business name
GENOMAS, INC
Doing business as
Laboratory of Personalized Health
Practice address
67 Jefferson St
Hartford, CT 06106-2504
Phone
(860) 545-4574
NPI assigned
Jan 18, 2008
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. Gualberto Ruano, M.D., PH.D.NPI 1174889554
Title
President and Ceo
Phone
(860) 545-4574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CL-0644 CT Primary

Addresses

Primary practice location

67 Jefferson St
Hartford, CT 06106-2504

Mailing address

67 Jefferson St
Hartford, CT 06106-2504
Phone (860) 545-4574

Other names 1

  • Laboratory of Personalized Health Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

67 Jefferson St
Hartford, CT 06106
Phone (860) 545-4574

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1336325497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062504",
            "telephone_number": "860-545-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062504",
            "telephone_number": "860-545-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOMAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "RUANO",
        "authorized_official_first_name": "GUALBERTO",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "860-545-4574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL-0644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratory of Personalized Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.