IGENOME, INC. (NPI# 1871113431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 Name | Type Code |
---|---|
IGENOME CANCER INSTITUTE | Doing Business As Name - Organization |
iGenome Health | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1835 Chestnut St Apt 3r, Philadelphia, PA 191033702 | 2678962176 |
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 |
Street Address |
1 WORLD TRADE CTR FL 8 |
City | LONG BEACH |
State | CA |
Zip Code | 90831-0002 |
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
1215538590 | Ramsha Khan | Behavior Technician | 225 W 3rd St Apt 436, Long Beach, CA 90802-3052 | 2020-11-04 |
1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
1053911412 | Blue Ivory and Palliative Care, Inc | Home Infusion | 2777 Pacific Ave Ste 2k, Long Beach, CA 90806-2625 | 2020-10-27 |
1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
1568061117 | Charisse Christie Magsaysay | Nurse Practitioner | 4508 Atlantic Ave Ste 468a, Long Beach, CA 90807-1520 | 2020-10-23 |
1578162343 | Shanna Rae Parker | Massage Therapist | 4226 E 4th St Apt 1, Long Beach, CA 90814-4927 | 2020-10-22 |
1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
Find all providers in LONG BEACH |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639642564 | Foundation Labs LLC | Clinical Medical Laboratory | 701 E 28th St Ste 317, Long Beach, CA 90806-2702 | 2019-01-03 |
1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
1710385901 | City of Angels Dermatology Inc | Clinical Medical Laboratory | 2888 Long Beach Blvd Ste 325, Long Beach, CA 90806-7503 | 2014-12-20 |
1396151643 | Julia Alcantar | Clinical Medical Laboratory | 2042 E Appleton St, Long Beach, CA 90803-5702 | 2014-07-08 |
1043238090 | Unilab Corporation | Clinical Medical Laboratory | 1045 S Atlantic Ave, Ste 507, Long Beach, CA 90813-3414 | 2006-07-18 |
1396779567 | American Sleep Diagnostics LLC | Clinical Medical Laboratory | 106 Willow Creek Dr, Long Beach, MS 39560-3311 | 2006-07-11 |
1336100759 | La Good Samaritan Pathology Medical Group, Inc. | Clinical Medical Laboratory | 2777 Pacific Ave, Suite H201& I202, Long Beach, CA 90806-2625 | 2006-03-28 |
1689294241 | Igenome, Inc. | Clinical Medical Laboratory | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-23 |
1407218886 | Long Beach Memorial Pathology Medical Group Inc. | Clinical Medical Laboratory | 2840 Long Beach Blvd, Suite 430, Long Beach, CA 90806-1516 | 2016-03-24 |
1053787432 | Long Beach Memorial Pathology Medical Group Inc. | Clinical Medical Laboratory | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2015-08-19 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90831 |
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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.