Translational Genomics Research Institute

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRANSLATIONAL GENOMICS RESEARCH INSTITUTE

Practice address

445 N 5TH St Ste 473a
Phoenix, AZ 85004-2157

Phone

(602) 343-8773

Fax

(602) 343-8780

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Amy Lorene Stouffer, MBA

Title

Director of Clinical Operations

Phone

(602) 343-8773

Specialties & licenses 1

Addresses

Other names 1

• TGen Clinical Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Tgen Clinical Laboratory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Translational Genomics Research Institute

  • Clinical Medical Laboratory
  • Flagstaff, AZ
  • NPI 1780203638
  NPD tax ID

Locations

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1366201063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N 5TH ST STE 473A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042157",
            "telephone_number": "602-343-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N 5TH ST STE 473A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042157",
            "telephone_number": "602-343-8773",
            "fax_number": "602-343-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSLATIONAL GENOMICS RESEARCH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "STOUFFER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LORENE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "602-343-8773",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGen Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Todd Steven Traub, MD
• Blake Traube, MD
• Trauma & Reconstructive Upper Extremity Specialists PLLC

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.