Personalized Genetic Testing

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PERSONALIZED GENETIC TESTING

Practice address

12855 SW 132ND St
Suite 101
Miami, FL 33186-7207

Phone

(305) 978-8590

NPI assigned

Sep 30, 2016

Organization subpart

No

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

Authorized official

Name

Irina Borodowsky

Title

Owner

Phone

(305) 978-8590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1962951079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 SW 132ND ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867207",
            "telephone_number": "305-978-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 SW 132ND ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867207",
            "telephone_number": "305-978-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED GENETIC TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BORODOWSKY",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-978-8590"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Conciergmed PLLC
• Personal Physicians LLC
• Personal Rehabilitation Center, Inc.
• Personal Response Corp
• Personal Well Care LLC
• Personalized Health Services, Corp
• Personalized Healthcare Innovations LLC
• Personalized Healthcare Innovations LLC
• Perspective Counseling
• Stephania Xaviela Perticone, PHARMD

• Clinical Medical Laboratory in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Medical Laboratory in Florida

• 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.