Genepace Laboratories, LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENEPACE LABORATORIES, LLC.

Practice address

1210 Waterway Blvd
Indianapolis, IN 46202-2167

Phone

(847) 848-2995

NPI assigned

Apr 21, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mulamoottil Pappy George

Title

Chief Scientific Officer

Phone

(847) 848-2995

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda M Bertolini, CRNA

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1023007309
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1821670704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 WATERWAY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022167",
            "telephone_number": "847-848-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WATERWAY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022167",
            "telephone_number": "847-848-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEPACE LABORATORIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MULAMOOTTIL",
        "authorized_official_middle_name": "PAPPY",
        "authorized_official_title_or_position": "CHIEF SCIENTIFIC OFFICER",
        "authorized_official_telephone_number": "847-848-2995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L. Gemma, D.O.
• Nancy Jo Gemmer, PHD.H.S.P.P
• Madeline Mary Gemuenden, DO
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• Reham R Gendi, MD
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• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.