Genolab Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENOLAB DIAGNOSTICS LLC

Practice address

200 Fairfield Rd Ste 22
Fairfield, NJ 07004-2426

Phone

(973) 287-6086

Fax

(862) 210-8569

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Abdelrahman Awad

Title

Cfo

Phone

(973) 287-6086

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1831770130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FAIRFIELD RD STE 22",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042426",
            "telephone_number": "973-287-6086",
            "fax_number": "862-210-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FAIRFIELD RD STE 22",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042426",
            "telephone_number": "973-287-6086",
            "fax_number": "862-210-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOLAB DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "ABDELRAHMAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-287-6086"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra J Furia, M.S. CCC-SLP
• Ashley Fusella
• Aikaterina Galeos, MS, RDN, CSG
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• Beata Sylvia Geyer, PH.D. , ABPP-CN
• Christina Giannini, MS OT
• Ashley Gibson
• Jasmine Gilliam

• Clinical Medical Laboratory in Fairfield, NJ
• Providers in Fairfield, 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 Oct 5, 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.