General Enzyme Diagnostics LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

GENERAL ENZYME DIAGNOSTICS LLC

Practice address

633 Napoleon St
Johnstown, PA 15901-2615

Phone

(814) 262-7331

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Otonye Dago

Title

Accounting Manager

Phone

(814) 262-7331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• GE-Diagnostics Doing business as
• GED Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1891375952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NAPOLEON ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012615",
            "telephone_number": "814-262-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NAPOLEON ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012615",
            "telephone_number": "814-262-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL ENZYME DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "DAGO",
        "authorized_official_first_name": "OTONYE",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "814-262-7331"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "39D2213541",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Database",
            "affiliation": "N",
            "address_1": "633 Napoleon St",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159012615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GE-Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Point of Service in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.