The Lab Genius Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

THE LAB GENIUS INC.

Doing business as

The Lab Genius

Practice address

777 Cleveland Ave SW Ste 516
Atlanta, GA 30315-7115

Phone

(404) 245-5543

Fax

(866) 502-0926

NPI assigned

Dec 2, 2021

Last updated

Dec 2, 2021By 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

Darryle Maurice Farrar

Title

Co-Founder/Coo

Phone

(404) 245-5543

Specialties & licenses 1

Addresses

Other names 1

• The Lab Genius Doing business as

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1356009849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 516",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157115",
            "telephone_number": "404-245-5543",
            "fax_number": "866-502-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 516",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157115",
            "telephone_number": "404-245-5543",
            "fax_number": "866-502-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAB GENIUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "DARRYLE",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "CO-FOUNDER/COO",
        "authorized_official_telephone_number": "404-245-5543"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lab Genius",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.