Phenogen Sciences Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHENOGEN SCIENCES INC.

Practice address

9115 Harris Corners Pkwy
Suite 320
Charlotte, NC 28269-3706

Phone

(877) 992-7382

Fax

(704) 926-5707

NPI assigned

Jul 27, 2010

Last updated

Nov 21, 2011By 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

Lewis Stuart

Title

General Manager

Phone

(877) 992-7382

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1558675058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 HARRIS CORNERS PKWY",
            "address_2": "SUITE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693706",
            "telephone_number": "877-992-7382",
            "fax_number": "704-926-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 HARRIS CORNERS PKWY",
            "address_2": "SUITE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693706",
            "telephone_number": "877-992-7382",
            "fax_number": "704-926-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOGEN SCIENCES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "877-992-7382"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phelps DMD & Associates
• Jaryn Royce Phelps, AUD
• Kevin Daniel Phelps, MD
• Khadijah Lynn Phelps
• Shelly Marie Luttman Phelps, LCSW
• Varsha Laxman Pherwani, MD
• Debra Phifer-Smith
• Britney Mobley Phifer, LMFT
• Charles Maurice Phifer
• Jessica Marjorie Phifer

• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.