Organization Active NPI

Invitro Genetics, LLC

  • Clinical Medical Laboratory
  • Plymouth, MI
National Provider Identifier
1386198059
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INVITRO GENETICS, LLC
Practice address
705 S Main St
Plymouth, MI 48170-2089
Phone
(313) 579-9650
NPI assigned
Aug 10, 2016
Organization subpart
Yes
Parent organization
COOPERGENOMICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Alan Tucker
Title
Chief Financial Officer
Phone
(203) 601-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

705 S Main St
Plymouth, MI 48170-2089

Mailing address

75 Corporate Dr
Trumbull, CT 06611-1350
Phone (203) 601-5200

Other names 1

  • Genesis Genetics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesis Genetics3 organizations share this tax ID, including this one
Part of
Coopergenomicsinc

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1386198059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CORPORATE DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111350",
            "telephone_number": "203-601-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702089",
            "telephone_number": "313-579-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVITRO GENETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOPERGENOMICS, INC.",
        "enumeration_date": "2016-08-10",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-601-9808"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Genetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.