Organization Active NPI

Nantomics LLC

  • Clinical Medical Laboratory
  • Culver City, CA
National Provider Identifier
1538556014
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2085379 Issued in CA
Legal business name
NANTOMICS LLC
Practice address
9922 Jefferson Blvd.
Ste 100
Culver City, CA 90232-3506
Phone
(310) 853-7426
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Robert Watson
Title
President
Phone
(310) 853-7426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D2085379 CA Primary

Addresses

Primary practice location

9922 Jefferson Blvd.
Ste 100
Culver City, CA 90232-3506

Mailing address

9922 Jefferson Blvd.
Ste 100
Culver City, CA 90232-3506

National Provider Directory

National Provider Directory

Locations

9922 Jefferson Blvd
Ste 100
Culver City, CA 90232
Phone (310) 853-7426

9922 Jefferson Blvd
#100
Culver City, CA 90232
Phone (310) 883-1300

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1538556014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 JEFFERSON BLVD.",
            "address_2": "STE 100",
            "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.",
            "address_2": "STE 100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323506",
            "telephone_number": "310-853-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTOMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-853-7426"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2085379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 22, 2015; 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.