Igenomix USA LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027055 Issued in FL

Legal business name

IGENOMIX USA LLC

Practice address

7955 NW 12TH St Ste 415
Doral, FL 33126-1823

Phone

(305) 501-4948

Fax

(786) 401-7546

NPI assigned

Feb 25, 2014

Organization subpart

No

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

Authorized official

Name

Artesia Jackson

Title

Regional Account Manager

Phone

(888) 959-3968

Specialties & licenses 1

Addresses

Other names 2

• Igenomix USA Doing business as
• Ivigen dba Igenomix USA LLC Former legal business name

Locations

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1023433281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 NW 12TH ST STE 415",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261823",
            "telephone_number": "305-501-4948",
            "fax_number": "786-401-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 NW 12TH ST STE 415",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261823",
            "telephone_number": "305-501-4948",
            "fax_number": "786-401-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGENOMIX USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ARTESIA",
        "authorized_official_title_or_position": "REGIONAL ACCOUNT MANAGER",
        "authorized_official_telephone_number": "888-959-3968"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Igenomix USA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Igenomix USA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ivigen dba Igenomix USA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Icare Behavior Services, LLC
• Icare Empowerment Center, LLC
• Icare Skilled Services, LLC
• Icred Solutions, LLC
• Idea Community LLC
• Chahinaz Igheldane
• Mavel Iglesias Pereira
• Yenit M Iglesias Ventura
• Katty Iglesias, DMD
• Melanie Iglesias, MD

• Clinical Medical Laboratory in Doral, FL
• Providers in Doral, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.