Chrome Residential, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHROME RESIDENTIAL, LLC

Practice address

14030 Davana Ter
Sherman Oaks, CA 91423-4244

Phone

(323) 949-6350

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Jacob R Benchlouch Harar

Title

Owner

Phone

(323) 949-6350

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Chrome Health Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1346989704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 DAVANA TER",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234244",
            "telephone_number": "323-949-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 DAVANA TER",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234244",
            "telephone_number": "323-949-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHROME RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "BENCHLOUCH HARAR",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-949-6350"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2271473",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB406422",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH - CLINICAL AND PUBLIC HEALTH LABORATORY LICENSE",
            "identifier": "CLR-90008102",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://chromehealth.precisemdx.com",
            "affiliation": "N",
            "endpointDescription": "PMDX HSM user portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "616 Masselin Ave Apt 309",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900363733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob@chromelabsbio.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "misc.",
            "address_1": "14030 Davana Ter",
            "city": "Sherman Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914234244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chrome Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asif Chowdhury
• Chris Marasco, M.D., Inc.
• Lia Christian, ACNP
• Sarah Elise Christolini
• Kaitlin Christy
• Joshua David Chrystal, NMD, DC
• Gina Hua Qin Chuang, L.A.C
• Allen Tae Chung, PHARMD
• Arianna Chung
• Eun Hee Chung, DDS

• Clinical Medical Laboratory in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Jun 16, 2023; 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.