Organization Active NPI

Connective Tissue Gene Tests, LLC

  • Clinical Medical Laboratory
  • Allentown, PA
National Provider Identifier
1891864997
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
MD063053L Issued in PA
Legal business name
CONNECTIVE TISSUE GENE TESTS, LLC
Practice address
6575Snowdrift Rd
Suite 106
Allentown, PA 18106
Phone
(484) 244-2900
Fax
(484) 244-2904
NPI assigned
Nov 6, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Leena Ala-Kokko, M.D., PH.D
Title
President
Phone
(484) 244-2900

National Provider Directory

National Provider Directory

Locations

6575 Snowdrift Rd
Ste 106
Allentown, PA 18106
Phone (484) 244-2900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MD063053L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

6575Snowdrift Rd
Suite 106
Allentown, PA 18106

Mailing address

6575 Snowdrift Rd
Suite 106
Allentown, PA 18106-9353
Phone (484) 244-2900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2016.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1891864997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 SNOWDRIFT RD",
            "address_2": "SUITE 106",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069353",
            "telephone_number": "484-244-2900",
            "fax_number": "484-244-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575SNOWDRIFT RD",
            "address_2": "SUITE 106",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "484-244-2900",
            "fax_number": "484-244-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIVE TISSUE GENE TESTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "ALA-KOKKO",
        "authorized_official_first_name": "LEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-244-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "MD063053L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.