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GENOVA DIAGNOSTICS INC NPI 1073591822


NPI Information

NPI: 1073591822
Provider Name: GENOVA DIAGNOSTICS INC

Former Legal Business Name: GREAT SMOKIES DIAGNOSTIC LABORATORY

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 34D0655571

Address:
63 ZILLICOA ST
ASHEVILLE, NC
ZIP 28801
Phone: (828) 210-7321
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GENOVA DIAGNOSTICS INC is a clinical medical laboratory in Asheville, NC. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. GENOVA DIAGNOSTICS INC NPI is 1073591822. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Great Smokies Diagnostic Laboratory.

The provider's business location address is:

63 ZILLICOA ST
ASHEVILLE, NC
ZIP 28801-038
Phone: (828) 210-7321
Fax: (828) 210-7321

The provider's authorized official is Jeffrey William Ledford .
The authorized official title is President Ceo and has the following contact phone number (828) 210-7764.

The CLIA number assigned to this NPI record is 34D0655571 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 5/10/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory34D0655571NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I54653MEDICAIDOREGON
2543317700MEDICAIDMINNESOTA
34490659MEDICAIDTENNESSEE
48900489MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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