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AMBRY GENETICS CORPORATION NPI 1861568784


NPI Information

NPI: 1861568784
Provider Name: AMBRY GENETICS CORPORATION
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 05D0981414

Address:
7 ARGONAUT
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 900-5500
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AMBRY GENETICS CORPORATION is a clinical medical laboratory in Aliso Viejo, CA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. AMBRY GENETICS CORPORATION NPI is 1861568784. The provider is registered as an organization entity type.

The provider's business location address is:

7 ARGONAUT
ALISO VIEJO, CA
ZIP 92656-423
Phone: (949) 900-5500
Fax: (949) 900-5501

The provider's authorized official is Michael Raymond Martinson .
The authorized official title is Cfo and has the following contact phone number (949) 900-5585.

The CLIA number assigned to this NPI record is 05D0981414 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 1/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryCLF11694CALIFORNIANo
2291U00000XClinical Medical LaboratoryCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10421379MEDICAIDMONTANA
21006834MEDICAIDALASKA
32418146MEDICAIDOHIO
4419149800MEDICAIDMARYLAND
5453277016MEDICAIDMICHIGAN
686759825MEDICAIDNEW MEXICO
7212446301MEDICAIDTEXAS
8806650800MEDICAIDIDAHO
9003151337AMEDICAIDGEORGIA
100054976MEDICAIDNEW JERSEY
111024063580001MEDICAIDPENNSYLVANIA
122958381MEDICAIDNEW YORK
13797178MEDICAIDARIZONA
1410025004600MEDICAIDNEBRASKA
151517245MEDICAIDTENNESSEE
16200267720AMEDICAIDKANSAS
17200967250AMEDICAIDINDIANA
18462462900MEDICAIDMINNESOTA
19690000008MEDICAIDALABAMA
201017246MEDICAIDVERMONT
2169584834MEDICAIDCOLORADO
227154701OTHERCALIFORNIALAP CAP
23LAB81414FMEDICAIDCALIFORNIA
24010127904MEDICAIDVIRGINIA
251464660MEDICAIDLOUISIANA
26200034590AMEDICAIDOKLAHOMA
27212446302MEDICAIDTEXAS
287100029600MEDICAIDKENTUCKY
2915197MEDICAIDNORTH DAKOTA
301061577MEDICAIDWASHINGTON
31157113709MEDICAIDARKANSAS
32L00282MEDICAIDSOUTH CAROLINA
33775960MEDICAIDMISSISSIPPI
349880101-000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.