Organization Active NPI

Nanthealth Labs, Inc

  • Clinical Medical Laboratory
  • Culver City, CA
National Provider Identifier
1295026938
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 18, 2018

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.