1780203638 NPI number — TRANSLATIONAL GENOMICS RESEARCH INSTITUTE

Table of content: (NPI 1780203638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780203638 NPI number — TRANSLATIONAL GENOMICS RESEARCH INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSLATIONAL GENOMICS RESEARCH INSTITUTE
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:
1780203638
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3051 W SHAMRELL BLVD STE 106
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLAGSTAFF
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86005-9435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-226-6370
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3051 W SHAMRELL BLVD STE 106
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLAGSTAFF
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86005-9435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-226-6370
Provider Business Practice Location Address Fax Number:
978-528-4454
Provider Enumeration Date:
04/10/2020

Additional Information

Authorized Official

Authorized Official Last Name:
OZOLS
Authorized Official First Name:
AUDREY
Authorized Official Middle Name:
Authorized Official Title or Position:
REIMBURSEMENT
Authorized Official Telephone Number:
602-343-8623

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: 03D2180037 . This is a "CLIA" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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