Circulogene Theranostics, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CIRCULOGENE THERANOSTICS, INC.

Practice address

219 E Garden St Ste 300
Pensacola, FL 32502-4806

Phone

(855) 614-7083

Fax

(855) 614-7084

NPI assigned

Sep 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Michael V. Mullen

Title

Ceo

Phone

(855) 614-7083

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Circulogene Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mako Medical Laboratories, LLC

  • Clinical Medical Laboratory
  • Englewood, CO
  • NPI 1932981529

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1780308262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830525",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830525",
            "telephone_number": "855-614-7083",
            "fax_number": "855-614-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E GARDEN ST STE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024806",
            "telephone_number": "855-614-7083",
            "fax_number": "855-614-7084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Independence Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352094165",
            "country_code": "US",
            "telephone_number": "855-614-7083",
            "fax_number": "855-614-7084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIRCULOGENE THERANOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-614-7083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19070",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circulogene",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Circulogene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Ciampini, LCSW
• Michelle Elizabeth Ciapponi
• Charles Anthony Ciccone, D.O.
• Nicole T Cineas, MSW
• Richard H Ciordia, MD
• Francesca Nicole Cirillo, M.D.
• Allison Clark, CCC-SLP
• Audriana Clark
• Bishod Q Clark
• Brittney Nichole Clark, LMHC

• Clinical Medical Laboratory in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.