NPI Details
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207ZP0007X | Pathology | Molecular Genetic Pathology | | | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | | GEORGIA | Yes |
