NPI Details
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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Molecular pathology procedure (HCPCS:81479)
- Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants (HCPCS:81162)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
- Gene analysis of genes associated with hereditary breast cancer and related disorders for gene sequence and duplication or deletion variants (HCPCS:0129U)
- Gene sequence analysis panel of 15 genes associated with hereditary colon cancer and related disorders (HCPCS:0101U)
- Molecular pathology procedure level 6 genetic analysis (HCPCS:81405)
The enumeration date for this NPI number is 11/24/2006 and was last updated on 8/22/2024.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | CLF11694 | CALIFORNIA | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | | CALIFORNIA | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0421379 | MEDICAID | MONTANA | |
| 2 | 1024063580001 | MEDICAID | PENNSYLVANIA | |
| 3 | 1061577 | MEDICAID | WASHINGTON | |
| 4 | 419149800 | MEDICAID | MARYLAND | |
| 5 | 462462900 | MEDICAID | MINNESOTA | |
| 6 | 7100029600 | MEDICAID | KENTUCKY | |
| 7 | L00282 | MEDICAID | SOUTH CAROLINA | |
| 8 | 1517245 | MEDICAID | TENNESSEE | |
| 9 | 15197 | MEDICAID | NORTH DAKOTA | |
| 10 | 200034590A | MEDICAID | OKLAHOMA | |
| 11 | 453277016 | MEDICAID | MICHIGAN | |
| 12 | 7154701 | OTHER | CALIFORNIA | LAP CAP |
| 13 | 806650800 | MEDICAID | IDAHO | |
| 14 | 0054976 | MEDICAID | NEW JERSEY | |
| 15 | 010127904 | MEDICAID | VIRGINIA | |
| 16 | 10025004600 | MEDICAID | NEBRASKA | |
| 17 | 1006834 | MEDICAID | ALASKA | |
| 18 | 200967250A | MEDICAID | INDIANA | |
| 19 | 212446302 | MEDICAID | TEXAS | |
| 20 | 69584834 | MEDICAID | COLORADO | |
| 21 | 797178 | MEDICAID | ARIZONA | |
| 22 | 157113709 | MEDICAID | ARKANSAS | |
| 23 | 003151337A | MEDICAID | GEORGIA | |
| 24 | 1017246 | MEDICAID | VERMONT | |
| 25 | 2958381 | MEDICAID | NEW YORK | |
| 26 | 86759825 | MEDICAID | NEW MEXICO | |
| 27 | 9880101-000 | MEDICAID | WEST VIRGINIA | |
| 28 | 1464660 | MEDICAID | LOUISIANA | |
| 29 | 212446301 | MEDICAID | TEXAS | |
| 30 | 690000008 | MEDICAID | ALABAMA | |
| 31 | LAB81414F | MEDICAID | CALIFORNIA | |
| 32 | 200267720A | MEDICAID | KANSAS | |
| 33 | 2418146 | MEDICAID | OHIO | |
| 34 | 775960 | MEDICAID | MISSISSIPPI | |
