Active NPI
Frequency Genomics, LLC
- Clinical Medical Laboratory
- Irvine, CA
National Provider Identifier
1114332632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.