Organization Active NPI

Genesis Diagnotics Centre

  • Clinical Medical Laboratory
  • Greenville, SC
National Provider Identifier
1831700087
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENESIS DIAGNOTICS CENTRE
Practice address
159 Commons Way
Greenville, SC 29611-3850
Phone
(864) 535-0901
Fax
(864) 671-2059
NPI assigned
Aug 12, 2020
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Brenzella HillNPI 1790135341
Title
Owner
Phone
(864) 363-0322

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 Primary

Addresses

Primary practice location

159 Commons Way
Greenville, SC 29611-3850

Mailing address

159 Commons Way
Greenville, SC 29611-3850
Phone (864) 535-0901

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2171835Genesis Diagnostics Centre159 Commons Way, Greenville, SC 29611Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

159 Commons Way
Greenville, SC 29611
Phone (864) 363-0322

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1831700087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 COMMONS WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113850",
            "telephone_number": "864-535-0901",
            "fax_number": "864-671-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 COMMONS WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113850",
            "telephone_number": "864-535-0901",
            "fax_number": "864-671-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DIAGNOTICS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "BRENZELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-363-0322"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.