Laboratory for Personalized Molecular Medicine

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 336024 Issued in CA

Legal business name

LABORATORY FOR PERSONALIZED MOLECULAR MEDICINE

Practice address

10222 Barnes Canyon Rd BLDG 1
San Diego, CA 92121-2711

Phone

(858) 224-6650

Fax

(858) 224-6655

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jordan Lief Thornes

Title

Global Director

Phone

(858) 224-6650

Specialties & licenses 1

Addresses

Other names 1

• LabPMM Other name

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1184874703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 BARNES CANYON RD BLDG 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212711",
            "telephone_number": "858-224-6650",
            "fax_number": "858-224-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 BARNES CANYON RD BLDG 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212711",
            "telephone_number": "858-224-6650",
            "fax_number": "858-224-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY FOR PERSONALIZED MOLECULAR MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "THORNES",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "LIEF",
        "authorized_official_title_or_position": "GLOBAL DIRECTOR",
        "authorized_official_telephone_number": "858-224-6650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 336024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LabPMM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lerida M Labor, LVN
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Corporation of America Holdings
• Robert Mas Laborete
• Marco Aurelio Laborin
• Larry Labossiere II, RN
• Ismael Labra Hernandez
• Adriana Labra

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, 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 Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.