Organization Active NPI

Sun Genomics, Inc.

Doing business as Flore Laboratories

  • Clinical Pathology/Laboratory Medicine Physician
  • San Diego, CA
National Provider Identifier
1083204630
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
SUN GENOMICS, INC.
Doing business as
Flore Laboratories
Practice address
5151 Shoreham PL Ste 180
San Diego, CA 92122-5961
Phone
(661) 888-4799
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Dr. Saurabh Gombar, M.D., PH.D.
Title
Lab Director
Phone
(317) 850-2234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0006X
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

5151 Shoreham PL Ste 180
San Diego, CA 92122-5961

Mailing address

5151 Shoreham PL Ste 105
San Diego, CA 92122-5939
Phone (661) 888-4799

Other identifiers 1

IdentifierTypeStateIssuer
05D2194956OtherCACLIA

Other names 1

  • Flore Laboratories Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cloud-protect.net Direct

National Provider Directory

National Provider Directory

Locations

5151 Shoreham Pl
Ste 180
San Diego, CA 92122
Phone (661) 888-4799

5151 Shoreham Pl
Ste 105
San Diego, CA 92122

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1083204630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 SHOREHAM PL STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225939",
            "telephone_number": "661-888-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 SHOREHAM PL STE 180",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225961",
            "telephone_number": "661-888-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN GENOMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "GOMBAR",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "317-850-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2194956",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cloud-protect.net",
            "affiliation": "N",
            "endpointDescription": "Proofpoint Essentials",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".csv, .pdf, .doc",
            "address_1": "5151 Shoreham Pl Ste 180",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921225961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Flore Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flore Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 22, 2023; 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.