Healthcare Provider Details

I. General information

NPI: 1306655642
Provider Name (Legal Business Name): ALLELICA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 CONCORD ST STE 211
FRAMINGHAM MA
01701-4613
US

IV. Provider business mailing address

447 BROADWAY
NEW YORK NY
10013-2562
US

V. Phone/Fax

Practice location:
  • Phone: 781-258-1454
  • Fax:
Mailing address:
  • Phone: 202-949-2834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QG0250X
TaxonomyGenetics Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: GIORDANO BOTTA
Title or Position: CEO & CO-FOUNDER
Credential: PHD
Phone: 415-964-5914