1770413296 NPI number — ESOTERIX GENETIC LABORATORIES, LLC

Table of content: (NPI 1770413296)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770413296 NPI number — ESOTERIX GENETIC LABORATORIES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ESOTERIX GENETIC LABORATORIES, LLC
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:
1770413296
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2240
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27216-2240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
777 TERRACE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HASBROUCK HEIGHTS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07604-3123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-566-9288
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2026

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
EVAN
Authorized Official Middle Name:
T
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
336-209-8960

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 31D2316141 . This is a "CLIA" identifier . This identifiers is of the category "OTHER".




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