Organization
GENETIC TECHNOLOGICAL INNOVATIONS, LLC
Active
Other names
Genetic Technological Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GLIMCHER (CEO)
(480) 476-8761
Entity
Organization
Contact information
Practice address
13402 N SCOTTSDALE RD STE 190, SCOTTSDALE, AZ 85254-4054
(480) 674-6565
(480) 265-4453
Mailing address
14500 N NORTHSIGHT BLVD STE 100, SCOTTSDALE, AZ 85260-3659
(877) 993-2484
(480) 265-4453
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2071616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3964041
—
TX
05
—
7100347080
—
KY
Enumeration date
01/15/2014
Last updated
10/01/2025
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