Gen Laboratories LLC

Primary specialty

Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X

License

33D0169767 PFI 3356 Issued in NY

Legal business name

GEN LABORATORIES LLC

Doing business as

Genetic Diagnostic Laboratories

Practice address

490 Delaware Ave
Buffalo, NY 14202-1304

Phone

(716) 881-4865

Fax

(716) 881-5081

NPI assigned

Jul 18, 2005

Last updated

Apr 9, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

KOVO CAPITAL VENTURES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Mark Kovinsky

Title

President

Phone

(484) 494-3121

Specialties & licenses 1

Addresses

Other names 1

• GENETIC DIAGNOSTIC LABORATORIES Doing business as

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1467451872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 DELAWARE AVENUE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021304",
            "telephone_number": "716-881-4865",
            "fax_number": "716-881-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021304",
            "telephone_number": "716-881-4865",
            "fax_number": "716-881-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEN LABORATORIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOVO CAPITAL VENTURES LLC",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "KOVINSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-494-3121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "NY",
            "license": "33D0169767 PFI 3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENETIC DIAGNOSTIC LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Loren Gelman, MD
• Joseph Gelormini, M.D
• Lauren Gelz, SLP
• Michael S Gembala
• Ryan Gemmati, DO
• General Physician Sub II PLLC
• General Physician Sub III PLLC
• General Physician Sub IV PLLC
• Genesee Hearing Services
• Genesee Valley Group Health (Lifetime Health Medical Group)

• Clinical Cytogenetics Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Cytogenetics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.