Metic Transplantation Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D0545320 Issued in CA

Legal business name

METIC TRANSPLANTATION LABORATORIES, INC.

Practice address

1420 San Pablo St
PMB B-103
Los Angeles, CA 90089-9047

Phone

(323) 442-7088

Fax

(323) 442-6742

NPI assigned

Apr 15, 2008

Last updated

Aug 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yuichi Iwaki, M.D.

Title

President (Owner)

Phone

(323) 441-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1205000841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SAN PABLO ST",
            "address_2": "PMB B-103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900899047",
            "telephone_number": "323-442-7088",
            "fax_number": "323-442-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SAN PABLO ST",
            "address_2": "PMB B-103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900899047",
            "telephone_number": "323-442-7088",
            "fax_number": "323-442-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METIC TRANSPLANTATION LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "IWAKI",
        "authorized_official_first_name": "YUICHI",
        "authorized_official_title_or_position": "PRESIDENT (OWNER)",
        "authorized_official_telephone_number": "323-441-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0545320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Meth
• Emily Methangkool, M.D.
• Cristine Hugo Metiam, PTA
• Nagwa Ghali Metias, DDS
• Metic Immunogenetics Consultants, Inc. (METIC IC, Inc.)
• Ashley Ryan Metoyer
• Joann Metoyer
• Kafi O. Metoyer, LMFT
• Margarita Metrikina, DDS
• Metro Discount Pharmacy

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.