Lucid Genetics, Corp.

Primary specialty

Genetics Clinic/CenterTaxonomy code 261QG0250X

Legal business name

LUCID GENETICS, CORP.

Practice address

970 Lake Carillon Dr Ste 300
St Petersburg, FL 33716-1130

Phone

(727) 249-8241

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Leigh Jennings Mack, MD, PHD

Title

President

Phone

(727) 249-8241

Specialties & licenses 1

Addresses

Other names 1

• Lucid Genetics Doing business as

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1619475290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LAKE CARILLON DR STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161130",
            "telephone_number": "727-249-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LAKE CARILLON DR STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161130",
            "telephone_number": "727-249-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID GENETICS, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-249-8241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucid Genetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney Daniel Lucas, M.D.
• Amy Renee Luce, DMD
• Lucent Pricing LLC
• Jennifer Lucey
• Jose Francisco Luciano, M.D.
• Jasmine May Luck, PA-C
• Wendy Lucker, L.C.S.W.
• Samantha Lucrezia, M.D.
• Jenna Malone Ludin, DMD
• Kyle G Luecke, M.D.

• Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.