Pro-Genex Laboratories Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRO-GENEX LABORATORIES INCORPORATED

Practice address

669 Lanier Park Dr
Gainesville, GA 30501-2059

Phone

(844) 794-3637

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Brett Grauss

Title

President & Ceo

Phone

(844) 794-3637

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1427610674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "844-794-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "844-794-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-GENEX LABORATORIES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "GRAUSS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "844-794-3637"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Price, CAA
• Elizabeth A Price, P.A.
• William Price, CRNA
• Prikare PC
• Primary Care Clinics of Georgia
• Krisi April Probert, OT
• Professional Health Services, Inc.
• Professional Therapy Services, LLC
• Professional Therapy Services, LLC
• Professional Therapy Services, LLC (Pro Therapy)

• Clinical Medical Laboratory in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.