Molecular Diagnostics Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA 18D1100471 Issued in KY

Legal business name

MOLECULAR DIAGNOSTICS LABORATORIES INC

Practice address

632 Russell Street
Covington, KY 41011-2353

Phone

(855) 841-7111

Fax

(859) 581-4086

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Francis Genbauffe Jr., PH.D.

Title

Laboratory Director

Phone

(855) 841-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Molecular Diagnostics and Research Center Former legal business name

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1679698633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 RUSSELL STREET",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112353",
            "telephone_number": "855-841-7111",
            "fax_number": "859-581-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 RUSSELL STREET",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112353",
            "telephone_number": "855-841-7111",
            "fax_number": "859-581-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR DIAGNOSTICS LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "GENBAUFFE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "855-841-7111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "CLIA 18D1100471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "18D1100471",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molecular Diagnostics and Research Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Minus Fifty-Five LLC
• Angela Miracle, APRN
• Deaira Mitchell
• Zachary Mockbee, MSW, LCSW
• Molecular Diagnostics Laboratories Inc
• Connor D Mook, MS, MA, LPCC
• Melissa Justine Moore, M.D
• Thomas J Moore, OD
• Vanessa Moore, LPCA
• Christopher Morandi, LPCC-S

• Clinical Medical Laboratory in Covington, KY
• Providers in Covington, KY by specialty
• Clinical Medical Laboratory in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.