Provider Type Icon

MYGENOMICS LLC NPI 1720403116


NPI Information

NPI: 1720403116
Provider Name: MYGENOMICS, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 11D2084528

Address:
11535 PARK WOODS CIR
SUITE E
ALPHARETTA, GA
ZIP 30005
Phone: (855) 647-4363
Get Directions

MYGENOMICS, LLC is a clinical medical laboratory in Alpharetta, GA. 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. MYGENOMICS, LLC NPI is 1720403116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11535 PARK WOODS CIR
SUITE E
ALPHARETTA, GA
ZIP 30005-490
Phone: (855) 647-4363

The provider's authorized official is Shoeb Ahmad .
The authorized official title is Owner and has the following contact phone number (855) 647-4363.

The CLIA number assigned to this NPI record is 11D2084528 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/21/2014 and was last updated on 2/10/2024.


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
1207ZP0007XPathologyMolecular Genetic PathologyNo
2291U00000XClinical Medical LaboratoryGEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.