Tissue Genetics, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TISSUE GENETICS, INC

Practice address

12635 E Montview Blvd
Ste 133
Aurora, CO 80045-7335

Phone

(720) 859-4053

Fax

(720) 859-4110

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Thomas Holt, MD

Title

President Chief Science Officer

Phone

(720) 859-4053

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1700023181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12635 E MONTVIEW BLVD",
            "address_2": "STE 133",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457335",
            "telephone_number": "720-859-4053",
            "fax_number": "720-859-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12635 E MONTVIEW BLVD",
            "address_2": "STE 133",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457335",
            "telephone_number": "720-859-4053",
            "fax_number": "720-859-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISSUE GENETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT CHIEF SCIENCE OFFICER",
        "authorized_official_telephone_number": "720-859-4053",
        "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": []
}

• Amanda Tinkey, LCSW
• Jennifer Marie Tippett, B.S.
• Robin Thomas Tipps, M.D., J.D.
• Amra Tipura, PHARMD
• Tira Ride LLC
• Benjamin Ralph Titus, MD
• Muluneh Mekuanent Tizazu
• TL Agapecare Limited Liability Company
• Karina Alejandra Tlaxcala-Hernandez, PA
• Sarah Tlustos-Carter, PHD

• Clinical Medical Laboratory in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.