NPI Details
ESOTERIX GENETIC LABORATORIES, LLC is a clinical medical laboratory in Shelton, CT. 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. ESOTERIX GENETIC LABORATORIES, LLC NPI is 1124536107. The provider is registered as an organization entity type.
The provider's business location address is:
3 FOREST PKWY
SHELTON, CT
ZIP 06484-122
Phone: (336) 436-7942
The provider's authorized official is Kimberly Williams .
The authorized official title is Vice President and has the following contact phone number (800) 222-7566.
The CLIA number assigned to this NPI record is 07D2141078 - independent with a certificate type of Certificate of Accreditation.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Flow cytometry technique for dna or cell analysis, each additional marker (HCPCS:88185)
- Dna testing for genetic defects (HCPCS:88271)
- Chromosome analysis for genetic defects, analyze 100-300 cells (HCPCS:88275)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Microscopic genetic analysis of tumor, manual (HCPCS:88360)
- Flow cytometry technique for dna or cell analysis, first marker (HCPCS:88184)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Translocation analysis (bcr/abl1) major breakpoint (HCPCS:81206)
- Translocation analysis (bcr/abl1) minor breakpoint (HCPCS:81207)
- Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
- Tissue culture for tumor disorders of bone marrow and blood cells (HCPCS:88237)
- Chromosome analysis for genetic defects, analyze 20-25 cells (HCPCS:88264)
- Gene analysis (janus kinase 2) variant (HCPCS:81270)
- Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure (HCPCS:88377)
- Genetic sequencing localization, each additional procedure (HCPCS:88364)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Gene analysis (v-raf murine sarcoma viral oncogene homolog b1) (HCPCS:81210)
- Test for detecting genes associated with blood related cancer (HCPCS:81450)
- Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)
- Genetic sequencing localization, initial procedure (HCPCS:88365)
- Bone marrow, smear interpretation (HCPCS:85097)
- Gene analysis (calreticulin), common variants (HCPCS:81219)
- Gene analysis (epidermal growth factor receptor), common variants (HCPCS:81235)
- Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
- Gene analysis (kirsten rat sarcoma viral oncogene homolog), additional variants (HCPCS:81276)
- Gene analysis (v-ki-ras2 kirsten rat sarcoma viral oncogene) variants in codons 12 and 13 (HCPCS:81275)
- Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect abnormal clonal population amplified methodology (HCPCS:81261)
- Gene analysis (tumor protein 53) targeted sequence analysis (HCPCS:81352)
- Microsatellite instability analysis (HCPCS:81301)
- Chromosome analysis for genetic defects, count 5 cells (HCPCS:88261)
- Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
- Flow cytometry technique for dna or cell analysis, 16 or more markers (HCPCS:88189)
The enumeration date for this NPI number is 1/12/2018 and was last updated on 1/12/2018.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 07D2141078 | OTHER | | CLIA |