1. Home
  2. Directory
  3. Michigan
  4. Lansing
  5. Pathology
  6. NPI Profile

SPARTAN GENETIX LLC
NPI 1730778291
Pathology - Molecular Genetic Pathology in Lansing, MI

Active since January 11, 2021CLIA 23D2329297 · Certificate of Compliance
3610 FOREST RD STE 139, LANSING, MI 48910(617) 785-0487 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spartan Genetix Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARTAN GENETIX LLC (NPI 1730778291) is a healthcare organization registered as a molecular genetic pathology in Lansing, Michigan and active in the NPI registry since January 2021. The organization holds a CLIA Certificate of Compliance certificate valid through April 16, 2028 and lists Rajan Dewar, President, as its authorized official.

NPPES Registry Identity

NPI1730778291
Entity TypeOrganization
Primary Taxonomy207ZP0007X
Legal Business NameSPARTAN GENETIX LLC
Location Address3610 FOREST RD STE 139Lansing, MI 48910-3716
Mailing Address3610 Forest Rd Ste 139Lansing, MI 48910-3716 · (617) 785-0487
Phone(617) 785-0487
Organization SubpartNo
Authorized OfficialRajan DewarPresident · (617) 785-0487
Enumeration DateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1730778291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Molecular Genetic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0007X
Definition
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.
3610 FOREST RD STE 139, Lansing, MI 48910
Open in Google Maps ↗

Other Names 1

Doing Business AsSpartan Genetix Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D2329297

Spartan Genetix LLC · Plymouth, MI
Active · expires Apr 16, 2028
CLIA Number23D2329297
Laboratory TypeIndependent
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorRajan Dewar
Laboratory Phone(617) 785-0487
Laboratory LocationSpartan Genetix LLC47951 Ann Arbor Road, Plymouth, MI 48170
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spartan Genetix LLC's NPI number?

The NPI number for Spartan Genetix LLC is 1730778291. It was assigned to this organization in the NPPES registry on January 11, 2021.

Where is Spartan Genetix LLC located?

Spartan Genetix LLC is located at 3610 Forest Rd Ste 139, Lansing, MI 48910. The listed phone number is (617) 785-0487.

What is Spartan Genetix LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Molecular Genetic Pathology, with taxonomy code 207ZP0007X.

Does Spartan Genetix LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2329297) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spartan Genetix LLC was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.