MEDICARE: ALERE GENETICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	CLIA 34D0706890	NC
2	291U00000X	Clinical Medical Laboratory	CAP 25892-01	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669465399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALERE GENETICS, INC.

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

Provider Business Practice Location Address
First Line	:	201 SAGE RD
Second Line	:	STE 300
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514
Country	:	US
Telephone Number	:	919-942-0021
Fax Number	:	919-967-9519

Authorized Official
Title or Position	:	SECRETARY
Name	:	MR. CRAIG APOLINSKY
Credential	:
Telephone Number	:	770-767-4500

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	02/03/2011

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Directions to “ALERE GENETICS, INC. ” Practice Location

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