Genentox Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENENTOX LABORATORIES LLC

Doing business as

Nova Diagnostics Labs

Practice address

744 N Eckhoff St Ste 150
Orange, CA 92868-1006

Phone

(833) 668-2522

Fax

(833) 668-2329

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Ambreen Williams

Title

Owner

Phone

(951) 532-8893

Specialties & licenses 1

Addresses

Other names 1

• Nova Diagnostics Labs Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1538686597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 N ECKHOFF ST STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681006",
            "telephone_number": "833-668-2522",
            "fax_number": "833-668-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 N ECKHOFF ST STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681006",
            "telephone_number": "833-668-2522",
            "fax_number": "833-668-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENENTOX LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMBREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-532-8893"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Diagnostics Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geiss Med Nevada PC
• Joel Gelman, M.D.
• Cherry Rose Geluz, OTR/L
• Ramon Fernando Geluz Jr., R.P.T.
• Michelle Gemanaru
• Genesis Healthcare of Southern California, Inc, a Medical Group
• Genetics Center
• Belanna May Geniza, PHARMD
• Alexandra Gensemer, N.P.
• Leah Gentile

• Clinical Medical Laboratory in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.