Biogene Diagnostics Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIOGENE DIAGNOSTICS INC.

Practice address

10842 Noel St Unit 111a
Los Alamitos, CA 90720-2555

Phone

(657) 214-2617

Fax

(657) 214-2617

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Zeyad Abulathoa

Title

President

Phone

(562) 200-5054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1093490112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10842 NOEL ST UNIT 111A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202555",
            "telephone_number": "657-214-2617",
            "fax_number": "657-214-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 NOEL ST UNIT 111A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202555",
            "telephone_number": "657-214-2617",
            "fax_number": "657-214-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOGENE DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "ABULATHOA",
        "authorized_official_first_name": "ZEYAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-200-5054"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Azer, DO, Inc.
• Johannes A. Bernbeck, MD
• Samuel S Berro, D.D.S
• Vichai Bhoopat, M.D.
• Kristin A Biddle, R.D.
• Biomega Corporation
• Bizhan Eshaghzadeh&Dalia Niknam DDS PC
• Elizabeth Black
• Blackburn WC DMD
• Richard Blackburn, DMD

• Clinical Medical Laboratory in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.