Micronoma Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MICRONOMA INC.

Practice address

6342 Ferris SQ
San Diego, CA 92121-3207

Phone

(858) 353-7016

NPI assigned

Nov 25, 2020

Organization subpart

No

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

Authorized official

Name

Sandrine Miller-Montgomery

Title

Ceo

Phone

(858) 353-7016

Specialties & licenses 1

Addresses

Other names 1

• Micronoma Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1265036610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 FERRIS SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213207",
            "telephone_number": "858-241-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 FERRIS SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213207",
            "telephone_number": "858-353-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRONOMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MILLER-MONTGOMERY",
        "authorized_official_first_name": "SANDRINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-353-7016"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@micronoma.com",
            "affiliation": "N",
            "address_1": "6342 Ferris Sq",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921213207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Micronoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Micronoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron C Mickaelian
• Emma Malia Mickel
• Makaila Rose Mickel
• Kelly Mickler, MS, CCC-SLP
• Emmanuel Jacob Micklus, PSS
• Mid-County Physicians Ipa
• Midcounty Surgical Associates LP a California Limited Partnership
• Douglas Malcom Middleton, M.D.
• Michael L Middleton, CRNA
• Michael S Middleton, M.D.

• 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 May 24, 2023; 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.