Mitomics (USA) Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MITOMICS (USA) INC.

Doing business as

Mitomics

Practice address

12635 E Montview Blvd
Room 100G
Aurora, CO 80045-7335

Phone

(720) 859-3540

Fax

(720) 859-3541

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Jason Dulude, CA

Title

Chief Financial Officer

Phone

(807) 472-0303

Specialties & licenses 1

Addresses

Other names 1

• Mitomics Doing business as

Locations

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1528364056",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "290 MUNRO STREET",
            "address_2": "SUITE 1000",
            "city": "THUNDER BAY",
            "state": "ONTARIO",
            "postal_code": "P7B7B6",
            "telephone_number": "807-768-4513",
            "fax_number": "807-768-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12635 E MONTVIEW BLVD",
            "address_2": "ROOM 100G",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457335",
            "telephone_number": "720-859-3540",
            "fax_number": "720-859-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITOMICS (USA) INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "DULUDE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "807-472-0303",
        "authorized_official_credential": "CA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitomics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele L Mitchell, PH.D., MSW, LCSW
• Nathan Mitchell, SAC
• Reid Mitchell, MA, LPCC
• Riana Mitchell
• Ji Hyun Seo Mitlyng, RN
• Matthew R Mittiga, M.D.
• Aaron Ross Mitz, AA
• Derek John Mitzel
• Tadashi Miya, M.D.
• Kimberly Miyamoto, D.D.S.

• Clinical Medical Laboratory in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.