Pgxhealth, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

07D0995237 Issued in CT

Legal business name

PGXHEALTH, LLC

Practice address

5 Science Park
New Haven, CT 06511-1966

Phone

(203) 786-3411

Fax

(203) 907-1857

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

TRANSGENOMIC, INCAs reported in NPPES

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

Authorized official

Name

Mr. Craig J Tuttle

Title

President and Ceo

Phone

(402) 452-5400

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Precipio Inc

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1821196304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SCIENCE PARK",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111966",
            "telephone_number": "203-786-3411",
            "fax_number": "203-907-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SCIENCE PARK",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111966",
            "telephone_number": "203-786-3411",
            "fax_number": "203-907-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGXHEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSGENOMIC, INC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "402-452-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "07D0995237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA90976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT ANTHEM BC/BS",
            "identifier": "070CL0633CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nelson J Pettey
• Linda F Pettine, P.T.
• Denisha L Pettway
• Steven Pfau, MD
• Katherine Marie Pfeiffer, CNS, NP
• Ba Hoang Nguyen Pham, MD
• Trinh Pham, PHARMD
• Duy Phan
• Julia Phan
• Mi Phan

• Clinical Medical Laboratory in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.