IGENOME, INC.


Address: 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002
Phone: 2678962176

IGENOME, INC. (NPI# 1871113431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871113431
Entity Type Organization
Organization Name IGENOME, INC.
Practice Address 1 World Trade Ctr Fl 8
Long Beach
CA 90831-0002
Mailing Address 1835 Chestnut St Apt 3r
Philadelphia
PA 19103-3702
Practice Telephone 2678962176
Mailing Telephone 2678962176
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Authorized Official Name YU SONG (CEO)
Authorized Official Telephone 2678962176
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207SG0201X Medical Genetics
Specialization: Clinical Genetics (M.D.)
Allopathic & Osteopathic Physicians
N 207SG0202X Medical Genetics
Specialization: Clinical Biochemical Genetics
Allopathic & Osteopathic Physicians
N 207SG0203X Medical Genetics
Specialization: Clinical Molecular Genetics
Allopathic & Osteopathic Physicians
N 207SG0205X Medical Genetics
Specialization: Ph.D. Medical Genetics
Allopathic & Osteopathic Physicians
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
IGENOME CANCER INSTITUTE Doing Business As Name - Organization
iGenome Health Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1835 Chestnut St Apt 3r, Philadelphia, PA 191033702 2678962176

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689294241 Igenome, Inc. Clinical Medical Laboratory 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1104446798 Igenome, Inc. Pharmacy 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1770102105 Igenome, Inc. Internal Medicine 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-15

Office Location

Street Address 1 WORLD TRADE CTR FL 8
City LONG BEACH
State CA
Zip Code 90831-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538498548 Yu Song Pharmacist 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2009-12-22
1689294241 Igenome, Inc. Clinical Medical Laboratory 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1104446798 Igenome, Inc. Pharmacy 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1770102105 Igenome, Inc. Internal Medicine 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366683096 Lvn/inhome Care Nursing Private Vehicle 1 World Trade Ctr, Suite 800, Long Beach, CA 90831-0002 2009-03-09
1023430717 Providence Community Services Social Worker 1 World Trade Ctr, 8th. Floor, Long Beach, CA 90831-0002 2014-01-14

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1689294241 Igenome, Inc. Clinical Medical Laboratory 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
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Competitor

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City LONG BEACH
Zip Code 90831

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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