Active NPI
Nantomics LLC
- Clinical Medical Laboratory
- Culver City, CA
National Provider Identifier
1538556014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D2085379
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.