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LAB GENOMICS LLC NPI 1225316482


NPI Information

NPI: 1225316482
Provider Name: LAB GENOMICS, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 23D2243865

Address:
11160 WARNER AVE STE 415
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 438-1009
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LAB GENOMICS, LLC is a clinical medical laboratory in Fountain Valley, 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. LAB GENOMICS, LLC NPI is 1225316482. The provider is registered as an organization entity type.

The provider's business location address is:

11160 WARNER AVE STE 415
FOUNTAIN VALLEY, CA
ZIP 92708-056
Phone: (714) 438-1009
Fax: (714) 438-2484

The provider's authorized official is Susham Manaktala .
The authorized official title is Executive Administration and has the following contact phone number (714) 336-1379.

The CLIA number assigned to this NPI record is 23D2243865 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2011 and was last updated on 8/8/2012.


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 LaboratoryCLF00341087CALIFORNIAYes

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
1CLF00341087OTHERCALIFORNIACALIFORNIA STATE
205D2026572OTHERCLINICAL LAB IMPROVEMENT AMMENDMENT

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

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