Organization Active NPI

Genetdx Inc

  • Clinical Medical Laboratory
  • Gainesville, FL
National Provider Identifier
1831988047
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENETDX INC
Practice address
747 SW 2ND Ave Ste 227
Gainesville, FL 32601-6280
Phone
(352) 871-1291
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dr. Guity Ghaffari, PHD
Title
President
Phone
(352) 871-1291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

747 SW 2ND Ave Ste 227
Gainesville, FL 32601-6280

Mailing address

10748 Northbrook Cir
Palm Beach Gardens, FL 33412-7307
Phone (352) 871-1291

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
10D2316847Genetdx Inc747 SW 2ND Ave Suit 227, Gainesville, FL 32601RegistrationJan 13, 2027

National Provider Directory

National Provider Directory

Locations

747 SW 2nd Ave
Ste 227
Gainesville, FL 32601
Phone (352) 871-1291

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1831988047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10748 NORTHBROOK CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334127307",
            "telephone_number": "352-871-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 SW 2ND AVE STE 227",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016280",
            "telephone_number": "352-871-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETDX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "GHAFFARI",
        "authorized_official_first_name": "GUITY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-871-1291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.