NPI Details
GENOMIND, INC. is a clinical medical laboratory in King Of Prussia, PA. 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. GENOMIND, INC. NPI is 1467850859. The provider is registered as an organization entity type.
The provider's business location address is:
2200 RENAISSANCE BLVD
SUITE 100
KING OF PRUSSIA, PA
ZIP 19406-755
Phone: (877) 895-8658
Fax: (844) 364-5850
The provider's authorized official is Shawn Patrick O'brien .
The authorized official title is Ceo and has the following contact phone number (877) 895-8658.
The CLIA number assigned to this NPI record is 39D2088097 - independent with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 12/17/2014 and was last updated on 12/6/2019.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 23066 | PENNSYLVANIA | 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 | 10670297 | MEDICAID | NEW MEXICO | |
| 2 | 141301500 | MEDICAID | WYOMING | |
| 3 | 1467850859 | MEDICAID | VIRGINIA | |
| 4 | 1467850859 | MEDICAID | MINNESOTA | |
| 5 | 1467850859 | MEDICAID | MAINE | |
| 6 | 2049308 | MEDICAID | WASHINGTON | |
| 7 | 215185709 | MEDICAID | ARKANSAS | |
| 8 | 707801 | MEDICAID | IOWA | |
| 9 | 100049283 | MEDICAID | WISCONSIN | |
| 10 | 13828056 | MEDICAID | DISTRICT OF COLUMBIA | |
| 11 | 146193717L00490 | MEDICAID | SOUTH CAROLINA | |
| 12 | 426933 | MEDICAID | MONTANA | |
| 13 | 499919 | MEDICAID | NEW JERSEY | |
| 14 | 9046391 | OTHER | | CAP CERTIFICATION |
| 15 | KMAP201122390B | MEDICAID | KANSAS | |
| 16 | LCO00912 | OTHER | RHODE ISLAND | STATE OF RI LABORATORY LICENSE |
| 17 | 003164790A | MEDICAID | GEORGIA | |
| 18 | 10026540600 | MEDICAID | NEBRASKA | |
| 19 | 39D2088097 | OTHER | PENNSYLVANIA | CLIA |
| 20 | 1467850859 | MEDICAID | CALIFORNIA | |
| 21 | 1467850859 | MEDICAID | NORTH CAROLINA | |
| 22 | 1467850859 | MEDICAID | UTAH | |
| 23 | 201293610A | MEDICAID | INDIANA | |
| 24 | 2269 | OTHER | MARYLAND | STATE OF MD LABORATORY LICENSE |
| 25 | 360077701 | MEDICAID | TEXAS | |
| 26 | 3717011-00 | MEDICAID | MARYLAND | |
| 27 | 7100401540 | MEDICAID | KENTUCKY | |
| 28 | CDS00800594 | OTHER | CALIFORNIA | STATE OF CA LABORATORY LICENSE |
| 29 | Q021455 | MEDICAID | TENNESSEE | |
| 30 | 1467110 | MEDICAID | NORTH DAKOTA | |
| 31 | 1467850859 | MEDICAID | MICHIGAN | |
| 32 | 1467850859 | MEDICAID | IDAHO | |
| 33 | 158836 | MEDICAID | MISSISSIPPI | |
| 34 | 1633397 | MEDICAID | ALASKA | |
| 35 | 17044500 | MEDICAID | FLORIDA | |
| 36 | 186566 | MEDICAID | ALABAMA | |
| 37 | 200146410 | MEDICAID | DELAWARE | |
| 38 | 500697689 | MEDICAID | OREGON | |
| 39 | 800027721 | OTHER | FLORIDA | STATE OF FL LABORATORY LICENSE |
| 40 | 2411357 | MEDICAID | LOUISIANA | |
| 41 | 9035 | OTHER | NEW YORK | STATE OF NY LABORATORY LICENSE PFI: |
| 42 | 103020171-0001 | MEDICAID | PENNSYLVANIA | |
| 43 | 137273 | MEDICAID | OHIO | |
| 44 | 3108879 | MEDICAID | NEW HAMPSHIRE | |
| 45 | 700023645 | MEDICAID | MISSOURI | |
| 46 | 93875061 | MEDICAID | COLORADO | |
| 47 | 1026839 | MEDICAID | VERMONT | |
| 48 | 161953 | MEDICAID | ARIZONA | |
| 49 | 200626210A | MEDICAID | OKLAHOMA | |
| 50 | 2011186 | MEDICAID | SOUTH DAKOTA | |
