Organization Active NPI

Gentest Diagnostics Inc

  • Genetics Clinic/Center
  • Mount Airy, MD
National Provider Identifier
1578040705
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
Legal business name
GENTEST DIAGNOSTICS INC
Practice address
13341 Old Annapolis Rd
Mount Airy, MD 21771-7734
Phone
(202) 302-8491
NPI assigned
Jul 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Dodd Levy
Title
President
Phone
(202) 302-8491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156F00000X
Genetics Clinic/Center 261QG0250X Primary

Addresses

Primary practice location

13341 Old Annapolis Rd
Mount Airy, MD 21771-7734

Mailing address

13341 Old Annapolis Rd
Mount Airy, MD 21771-7734

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1578040705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13341 OLD ANNAPOLIS RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 OLD ANNAPOLIS RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717734",
            "telephone_number": "202-302-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTEST DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "DODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-302-8491"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.