Provider Demographics
NPI:1932445681
Name:GENESYS DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:GENESYS DIAGNOSTICS, INC.
Other - Org Name:GDI LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DIVAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHUJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-917-2245
Mailing Address - Street 1:8 ENTERPRISE LN
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CT
Mailing Address - Zip Code:06370-1853
Mailing Address - Country:US
Mailing Address - Phone:860-574-9172
Mailing Address - Fax:866-285-6850
Practice Address - Street 1:8 ENTERPRISE LN
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:CT
Practice Address - Zip Code:06370-1853
Practice Address - Country:US
Practice Address - Phone:860-574-9172
Practice Address - Fax:860-574-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Single Specialty