Gemelli Biotech Corp.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GEMELLI BIOTECH CORP.

Practice address

2450 W Broadway Rd Ste 120
Mesa, AZ 85202-1072

Phone

(855) 888-1230

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Fab Wilfong

Title

Vice President of Market Access

Phone

(413) 222-4991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1376006932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W BROADWAY RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021072",
            "telephone_number": "480-621-8517",
            "fax_number": "818-301-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W BROADWAY RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021072",
            "telephone_number": "855-888-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMELLI BIOTECH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "WILFONG",
        "authorized_official_first_name": "FAB",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MARKET ACCESS",
        "authorized_official_telephone_number": "413-222-4991"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Gebhardt, PA-C
• Gloria Geeso, LMSW
• Audie Leah Gehring, SLPA
• Marcie Geisser, LNA
• Debra M Gelman, M.D.
• Traci Genaw
• General & Robotic Surgical Associates PLLC
• General Health Corporation
• Generational Dentistry, LLC
• Genesis Community Outreach, Training & Education

• Clinical Medical Laboratory in Mesa, AZ
• Providers in Mesa, 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 Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.