Organization Active NPI

Juno Diagnostics, Inc.

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1013651348
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JUNO DIAGNOSTICS, INC.
Practice address
11760 Sorrento Valley Rd Ste G-J
San Diego, CA 92121-1018
Phone
(858) 201-7154
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jim Chauvapun
Title
Chief Operations Officer
Phone
(617) 417-2434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11760 Sorrento Valley Rd Ste G-J
San Diego, CA 92121-1018

Mailing address

11760 Sorrento Valley Rd Ste G-J
San Diego, CA 92121-1018

National Provider Directory

National Provider Directory

Locations

11760 Sorrento Valley Rd
Ste Gj
San Diego, CA 92121
Phone (858) 201-7154

11760 Sorrento Valley Rd
Ste J
San Diego, CA 92121
Phone (858) 201-7154

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1013651348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SORRENTO VALLEY RD STE G-J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SORRENTO VALLEY RD STE G-J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211018",
            "telephone_number": "858-201-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNO DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "CHAUVAPUN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "617-417-2434"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.