Healthcare Provider Details

I. General information

NPI: 1932445681
Provider Name (Legal Business Name): GENESYS DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 BANK ST FL 1
NEW LONDON CT
06320-6070
US

IV. Provider business mailing address

8 ENTERPRISE LN
OAKDALE CT
06370-1853
US

V. Phone/Fax

Practice location:
  • Phone: 860-574-9172
  • Fax: 860-574-9264
Mailing address:
  • Phone: 860-574-9172
  • Fax: 866-285-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. DIVAKAR AHUJA
Title or Position: CEO
Credential:
Phone: 860-402-4657