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General NPI Number Information
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NPI Number | 1932445681
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Entity Type | Organization
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Legal Business Name | GENESYS DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 234 BANK ST FL 1
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City | NEW LONDON
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State | CT
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Zip | 06320-6070
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Country | US
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Telephone | 860-574-9172
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Fax | 860-574-9264
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Provider Business Mailing Address
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Address Line | 8 ENTERPRISE LN
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City | OAKDALE
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State | CT
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Zip | 06370-1853
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Country | US
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Telephone | 860-574-9172
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Fax | 866-285-6850
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Authorized Official
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Title or Position | CEO
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Name | MR. DIVAKAR AHUJA
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Credential |
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Telephone | 860-402-4657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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