Immunogenomics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMMUNOGENOMICS LLC

Practice address

400 E Live Oak Ave
Arcadia, CA 91006-5619

Phone

(832) 500-4462

Fax

(832) 376-7548

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Twinkle Patel

Title

Ceo

Phone

(850) 849-2554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1386364263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065619",
            "telephone_number": "832-500-4462",
            "fax_number": "832-376-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNOGENOMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TWINKLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-849-2554"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiago Ieong
• Eunice Y Im, DDS
• Gabrielle Im
• Andrew Haughey Imbus, PA-C
• Charles E. Imbus, MD
• In Touch Hospice Care Inc
• In-Flow Inc.
• Elizabeth Paulina Inclan
• Juana M. Infante, LCSW
• Integrative Therapy Institute Inc

• Clinical Medical Laboratory in Arcadia, CA
• Providers in Arcadia, 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 31, 2022; 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.