G6 Genomics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

G6 GENOMICS, LLC

Practice address

189 Darling Ave
Suite a-34
South Portland, ME 04106

Phone

(207) 536-0194

NPI assigned

Mar 9, 2015

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Jamison

Title

Owner

Phone

(757) 692-5858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1467845990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 GREAT BRIDGE BLVD STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233207008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 DARLING AVE",
            "address_2": "SUITE A-34",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-536-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G6 GENOMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-692-5858"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Medeiros Fredericks, CADC
• Friendly Day Program LLC
• Holly B Frost, CNM
• Sarah Fuhrman, FNP
• Full Potential PLLC (Innate Family Chiropractic)
• Kalyn Gagnon, DPT
• Roger R Gagnon, O.D.
• Samuel Gagnon, PA-C
• Gaia Enterprises Inc
• Kenneth Galeckas, M.D.

• Clinical Medical Laboratory in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Medical Laboratory in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.