Genoa Healthcare Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENOA HEALTHCARE CLINICAL LABORATORY LLC

Doing business as

Genoa Healthcare

Practice address

3101 Old Highway 8
Suite 203-a
Roseville, MN 55113-1072

Phone

(952) 388-0400

Fax

(651) 304-1902

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Raymond Stroetz, MT ASCP

Title

Laboratory Director

Phone

(651) 917-4029

Specialties & licenses 1

Addresses

Other names 1

• GENOA HEALTHCARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Marie Beier, LPN

  • Licensed Practical Nurse
  • New Brighton, MN
  • NPI 1437411360
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1548564511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 CASCADE AVE S",
            "address_2": "SUITE 251",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981884746",
            "telephone_number": "425-679-5692",
            "fax_number": "206-275-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8",
            "address_2": "SUITE 203-A",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131072",
            "telephone_number": "952-388-0400",
            "fax_number": "651-304-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA HEALTHCARE CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "STROETZ",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "651-917-4029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENOA HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhina Gautam, MS
• James Michael Gee, M.D., PH.D.
• Alyssa Geiken
• Michael Warren Geiser, DDS
• Mehmet Gencturk, M.D
• Genoa Healthcare LLC
• Amy Kathleen Gerlach
• Kimberly Maria Gerlach, RN
• Galina German, PSY.D., LPC
• Melinda Marie Gerold, LPN

• Clinical Medical Laboratory in Roseville, MN
• Providers in Roseville, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.