Organization Active NPI

Gene Praxis LLC

  • Clinical Medical Laboratory
  • Branford, CT
National Provider Identifier
1972979573
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENE PRAXIS LLC
Practice address
36 E Industrial Rd
Branford, CT 06405-6533
Phone
(203) 208-0594
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Petros Tsipouras, M.D.
Title
Ceo
Phone
(203) 208-0594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

36 E Industrial Rd
Branford, CT 06405-6533

Mailing address

36 E Industrial Rd
Branford, CT 06405-6533
Phone (203) 208-0594

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1972979573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E INDUSTRIAL RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056533",
            "telephone_number": "203-208-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E INDUSTRIAL RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056533",
            "telephone_number": "203-208-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE PRAXIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "TSIPOURAS",
        "authorized_official_first_name": "PETROS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-208-0594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.