Genoscientific LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

25MS00010500 Issued in NJ

Legal business name

GENOSCIENTIFIC LLC

Practice address

4270 RT 1 N
Suite-1
Monmouth Junction, NJ 08852-2376

Phone

(173) 264-2113

Fax

(732) 662-5544

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Suvas B Desai, PHD

Title

Lab Director

Phone

(732) 642-1133

Specialties & licenses 5

Addresses

Other names 1

• GENOSCIENTIFIC LLC Former legal business name

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1417296955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ETHEL RD",
            "address_2": "SUITE 203C",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172839",
            "telephone_number": "732-662-5543",
            "fax_number": "732-662-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 RT 1 N",
            "address_2": "SUITE-1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522376",
            "telephone_number": "173-264-2113",
            "fax_number": "732-662-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Remington Ct",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077476806",
            "country_code": "US",
            "telephone_number": "732-642-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENOSCIENTIFIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SUVAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "732-642-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "25MS00010500",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "31D1095378",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "CQP46267",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "21882",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D2069756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENOSCIENTIFIC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "GENOSCIENTIFIC LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.