PTC Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PTC LABORATORIES, INC.

Practice address

300 Portland St
Columbia, MO 65201-6569

Phone

(573) 442-9948

Fax

(573) 442-9870

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Michelle Beckwith

Title

Vice President

Phone

(573) 442-9948

Specialties & licenses 1

Addresses

Other names 1

• GeneTrait Laboratories Doing business as

Locations

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1992095087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PORTLAND ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016569",
            "telephone_number": "573-442-9948",
            "fax_number": "573-442-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PORTLAND ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016569",
            "telephone_number": "573-442-9948",
            "fax_number": "573-442-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTC LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "573-442-9948"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GeneTrait Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.