Active NPI
Gene Praxis LLC
- Clinical Medical Laboratory
- Branford, CT
National Provider Identifier
1972979573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.