Universal Genetics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNIVERSAL GENETICS LLC

Doing business as

Advanced Diagnostics LLC
Advanced Genetics LLC

Practice address

604 E Huntington Dr Ste a
Monrovia, CA 91016-6351

Phone

(626) 930-8700

NPI assigned

Nov 27, 2020

Last updated

Nov 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Ku, MDNPI 1508800756

Title

Medical Director

Phone

(626) 930-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Advanced Diagnostics LLC Doing business as
• Advanced Genetics LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ku, M.D.

  • Pediatric Adolescent Medicine Physician
  • Monrovia, CA
  • NPI 1508800756
  NPD Authorized official

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1477157725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E HUNTINGTON DR STE A",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910166351",
            "telephone_number": "626-930-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E HUNTINGTON DR STE A",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910166351",
            "telephone_number": "626-930-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL GENETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-930-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2197124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Diagnostics LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Genetics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keeley Unger
• Kristen Unger
• United Drug Rehab Center Inc.
• United Youth Homes
• Unity Neurobehavioral Health, a Psychological Corporation (Unity Neuro)
• Jorge Unzueta Molina
• Sheyd Upshaw
• Sofia Uraizee
• Alexis Urban
• Haley Urban

• Clinical Medical Laboratory in Monrovia, CA
• Providers in Monrovia, 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 Nov 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.