FERTILITY GENETICS LLC NPI 1437914959

NPI Information

NPI: 1437914959
Provider Name: FERTILITY GENETICS LLC
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
10290 RIDGEGATE CIR
LONE TREE, CO
ZIP 80124
Phone: (303) 788-8300
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FERTILITY GENETICS LLC is a clinical genetics (m.d.) medical genetics in Lone Tree, CO. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. FERTILITY GENETICS LLC NPI is 1437914959. The provider is registered as an organization entity type.

The provider's business location address is:

10290 RIDGEGATE CIR
LONE TREE, CO
ZIP 80124-331
Phone: (303) 788-8300

The provider's authorized official is Diane Jean Ravech .
The authorized official title is Chief Revenue Officer and has the following contact phone number (860) 305-6640.

The enumeration date for this NPI number is 2/14/2024 and was last updated on 2/14/2024.

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	261QG0250X	Clinic/Center	Genetics			No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06D2107279	OTHER		CLIA

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: 5/5/2024

NPI Synchronization or Removal

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