NPIMap

Organization Active NPI

Reprogenetics Oregon

  • Clinical Medical Laboratory
  • Portland, OR
National Provider Identifier
1477073419
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REPROGENETICS OREGON
Practice address
808 SW 15TH Ave
Portland, OR 97205-1907
Phone
(203) 601-5200
NPI assigned
Jun 21, 2017
Organization subpart
Yes
Parent organization
COOPERGENOMICS,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Mr. Alan Tucker
Title
Cfo
Phone
(203) 601-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

808 SW 15TH Ave
Portland, OR 97205-1907

Mailing address

10 Franklins Way
Guilford, CT 06437-2193
Phone (203) 453-7416

National Provider Directory

National Provider Directory
Tax ID family
Genesis Genetics3 organizations share this tax ID, including this one
Part of
Coopergenomicsinc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1477073419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FRANKLINS WAY",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372193",
            "telephone_number": "203-453-7416",
            "fax_number": "203-453-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SW 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051907",
            "telephone_number": "203-601-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPROGENETICS OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOPERGENOMICS,INC",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-601-9808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.