1669465399 NPI number — ALERE GENETICS, INC.

Table of content: (NPI 1669465399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669465399 NPI number — ALERE GENETICS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALERE GENETICS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669465399
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3200 WINDY HILL RD.
Provider Second Line Business Mailing Address:
SUITE B-100 ATTN: REGULATORY AFFAIRS
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-767-8218
Provider Business Mailing Address Fax Number:
770-916-1312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 SAGE RD
Provider Second Line Business Practice Location Address:
STE 300
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-942-0021
Provider Business Practice Location Address Fax Number:
919-967-9519
Provider Enumeration Date:
08/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
APOLINSKY
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
770-767-4500

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  CLIA 34D0706890 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: CAP 25892-01 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8900423 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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