Gensi

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2102775 Issued in CA

Legal business name

GENSI

Practice address

11125 Flintkote Ave
Suite J
San Diego, CA 92121-1213

Phone

(858) 270-1594

Fax

(858) 408-7545

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Lee McCracken

Title

Chief Executive Officer

Phone

(858) 270-1594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1891152534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 FLINTKOTE AVE",
            "address_2": "SUITE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211213",
            "telephone_number": "858-270-1594",
            "fax_number": "858-408-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 FLINTKOTE AVE",
            "address_2": "SUITE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211213",
            "telephone_number": "858-270-1594",
            "fax_number": "858-408-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENSI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "858-270-1594",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2102775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Genovese
• Haley Glatthorn Genovese, MD
• Jennifer Genovese
• Matthew A. Genovese, MD
• Nicholas Genovese, MD
• Gilbert John Gentile, LCSW
• Justin Andrew Gentile
• Amilcare Gentili, MD
• Julian Gentili, PT
• Gentle Holdings LLC

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.