Active NPI
Nanthealth Labs, Inc
- Clinical Medical Laboratory
- Culver City, CA
National Provider Identifier
1295026938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NANTHEALTH LABS, INC
- Practice address
- 9922 Jefferson Blvd
Culver City, CA 90232 - Phone
- (844) 282-3362
- NPI assigned
- Apr 28, 2011
- 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
- Roxana Mendoza
- Title
- Billing Supervisor
- Phone
- (310) 853-7652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
9922 Jefferson Blvd
Culver City, CA 90232
Mailing address
9920 Jefferson Blvd
Culver City, CA 90232-3506
Other names 1
- Liquid Genomics, Inc
National Provider Directory
National Provider DirectoryLocations
9920 Jefferson Blvd
Culver City, CA 90232
Phone (562) 397-3639
1370 Valley Vista Dr
Ste 145
Diamond Bar, CA 91765
Phone (909) 861-2000
1725 Del Amo Blvd
Torrance, CA 90501
Phone (310) 863-9042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1295026938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9922 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90232",
"telephone_number": "844-282-3362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANTHEALTH LABS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-28",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "ROXANA",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "310-853-7652"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Liquid Genomics, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.