Provider Demographics
NPI:1306655642
Name:ALLELICA, INC
Entity type:Organization
Organization Name:ALLELICA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:GIORDANO
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-964-5914
Mailing Address - Street 1:447 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2562
Mailing Address - Country:US
Mailing Address - Phone:202-949-2834
Mailing Address - Fax:
Practice Address - Street 1:7 FIELDSTONE LN
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-5560
Practice Address - Country:US
Practice Address - Phone:781-258-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics