Organization Active NPI

Frequency Genomics, LLC

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1114332632
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FREQUENCY GENOMICS, LLC
Practice address
27 Technology Dr
Irvine, CA 92618-2364
Phone
(949) 783-5300
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mr. Dominic Oswald Weilbaecher
Title
VP Revenue Cycle
Phone
(949) 536-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

27 Technology Dr
Irvine, CA 92618-2364

Mailing address

27 Technology Dr
Irvine, CA 92618-2364

Other names 1

  • Vantari Genetics, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

27 Technology Dr
Irvine, CA 92618
Phone (949) 783-5300

12635 E Montview Blvd
Ste 370
Aurora, CO 80045
Phone (720) 859-4146

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1114332632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182364",
            "telephone_number": "949-783-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREQUENCY GENOMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "WEILBAECHER",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "OSWALD",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "949-536-6070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vantari Genetics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.