NPIMap

Organization Active NPI

Genetic Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Philadelphia, PA
National Provider Identifier
1831343383
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
39D0893887 Issued in PA
Legal business name
GENETIC DIAGNOSTIC LABORATORY
Practice address
3620 Hamilton Walk
415 Anatomy-Chemstry Building
Philadelphia, PA 19104-4215
Phone
(215) 573-9161
Fax
(215) 573-5940
NPI assigned
Nov 11, 2008
Organization subpart
Yes
Parent organization
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Dr. Arupa Ganguly, PH.D.NPI 1508330010
Title
Laboratory Director
Phone
(215) 898-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 39D0893887 PA Primary

Addresses

Primary practice location

3620 Hamilton Walk
415 Anatomy-Chemstry Building
Philadelphia, PA 19104-4215

Mailing address

415 Curie Boulevard
415 Anatomy-Chemistry Building-Department of Genetics
Philadelphia, PA 19104
Phone (215) 573-9161

National Provider Directory

National Provider Directory
Tax ID family
Univ of Penn Dept of NE44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

415 Curie Blvd
#415
Philadelphia, PA 19104

3620 Hamilton Walk
#415
Philadelphia, PA 19104
Phone (215) 573-3020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1831343383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CURIE BOULEVARD",
            "address_2": "415 ANATOMY-CHEMISTRY BUILDING-DEPARTMENT OF GENETICS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-573-9161",
            "fax_number": "215-573-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HAMILTON WALK",
            "address_2": "415 ANATOMY-CHEMSTRY BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044215",
            "telephone_number": "215-573-9161",
            "fax_number": "215-573-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETIC DIAGNOSTIC LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "GANGULY",
        "authorized_official_first_name": "ARUPA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "215-898-3122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D0893887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.