Medcomp GX, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDCOMP GX, LLC

Doing business as

Apollo Genetics

Practice address

1799 Stumpf Blvd.
BLDG. 2, Suites 1 & 2
Gretna, LA 70056-2200

Phone

(883) 757-0751

Fax

(833) 850-9025

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Blaine Smith

Title

Manager

Phone

(801) 694-4842

Specialties & licenses 1

Addresses

Other names 1

• Apollo Genetics Doing business as

Locations

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1508268731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E DRAPER PKWY STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209058",
            "telephone_number": "801-916-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD.",
            "address_2": "BLDG. 2, SUITES 1 & 2",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562200",
            "telephone_number": "883-757-0751",
            "fax_number": "833-850-9025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E Draper Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "84020",
            "country_code": "US",
            "telephone_number": "883-793-0774",
            "fax_number": "385-429-1342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDCOMP GX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-694-4842"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Genetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Gretna, LA
• Providers in Gretna, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.