Genodx LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

31D1095378 Issued in NJ

Legal business name

GENODX LLC

Doing business as

NCJ Diagnostics & DNA Technologies

Practice address

4262 US Highway 1
Monmouth Junction, NJ 08852-1905

Phone

(732) 642-1333

Fax

(732) 823-1053

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Adrian Harper

Title

President & Ceo

Phone

(732) 392-6005

Specialties & licenses 2

Addresses

Other names 1

• NCJ Diagnostics & DNA Technologies Doing business as

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1790169621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 US HIGHWAY 1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521905",
            "telephone_number": "732-392-6005",
            "fax_number": "732-132-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 US HIGHWAY 1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521905",
            "telephone_number": "732-642-1333",
            "fax_number": "732-823-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENODX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "732-392-6005"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "31D1095378",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "31D1095378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCJ Diagnostics & DNA Technologies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.