X-Gene Molecular Laboratories, Inc

Primary specialty

Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X

Legal business name

X-GENE MOLECULAR LABORATORIES, INC

Practice address

4205 Springhurst Blvd Ste 101a
Louisville, KY 40241-6159

Phone

(859) 361-8704

NPI assigned

Nov 7, 2018

Last updated

Feb 17, 2022By 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

Tamia Fisher

Title

Credential-Contract Analyst

Phone

(812) 962-7894

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1497223473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST STE 2000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159147",
            "telephone_number": "812-962-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SPRINGHURST BLVD STE 101A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416159",
            "telephone_number": "859-361-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-GENE MOLECULAR LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TAMIA",
        "authorized_official_title_or_position": "CREDENTIAL-CONTRACT ANALYST",
        "authorized_official_telephone_number": "812-962-7894"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D2157664",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LABORATORY LICENSE",
            "identifier": "200396",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Wylie, PTA
• Scott A. Wylie, PH.D.
• Sandra Wynn Wyndham
• Jessica Anne Wynkoop
• Michael Wynn, MS, CCP
• X-Ray Associates of Louisville PSC
• Xenon Anesthesia of Kentucky PLLC
• Eric Liang Xia, M.D.
• Benjamin Wenyuan Xie
• Helen Xin

• Molecular Genetic Pathology (Pathology) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Molecular Genetic Pathology (Pathology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.