Organization Active NPI

Trugenomix Health Inc.

  • Clinical Medical Laboratory
  • Manassas, VA
National Provider Identifier
1609468420
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TRUGENOMIX HEALTH INC.
Practice address
11100 Endeavor CT Ste 119
Manassas, VA 20109-4027
Phone
(808) 389-3554
NPI assigned
Feb 4, 2021
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dr. Anne Louise Naclerio, MDNPI 1801856059
Title
Chief Medical Officer
Phone
(808) 389-3554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11100 Endeavor CT Ste 119
Manassas, VA 20109-4027

Mailing address

9841 Washingtonian Blvd Ste 200
Gaithersburg, MD 20878-7350
Phone (808) 389-3554

National Provider Directory

National Provider Directory

Locations

155 Gibbs St
Unit 559
Rockville, MD 20850

11100 Endeavor Ct
Ste 119
Manassas, VA 20109
Phone (703) 257-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1609468420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 WASHINGTONIAN BLVD STE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208787350",
            "telephone_number": "808-389-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 ENDEAVOR CT STE 119",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094027",
            "telephone_number": "808-389-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUGENOMIX HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "NACLERIO",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "808-389-3554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.