My Genius Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MY GENIUS LAB LLC

Practice address

5052 S Jones Blvd Ste 135
Las Vegas, NV 89118-0556

Phone

(702) 209-2223

Fax

(702) 209-3495

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Artyom Vardapetyan

Title

Owner/Managing Member

Phone

(702) 209-2223

Specialties & licenses 1

Addresses

Other names 1

• GENICS LABORATORIES Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1407474190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 S JONES BLVD STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180556",
            "telephone_number": "702-209-2223",
            "fax_number": "702-209-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 S JONES BLVD STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180556",
            "telephone_number": "702-209-2223",
            "fax_number": "702-209-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GENIUS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "VARDAPETYAN",
        "authorized_official_first_name": "ARTYOM",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "702-209-2223"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@genicslabs.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "5052 S Jones Blvd Ste 135",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891180556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GENICS LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Medical Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.