Organization Active NPI

Genesis Molecular Diagnostics LLC

  • Clinical Medical Laboratory
  • Torrance, CA
National Provider Identifier
1548653694
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENESIS MOLECULAR DIAGNOSTICS LLC
Practice address
3860 Del Amo Blvd Ste 402
Torrance, CA 90503-2196
Phone
(424) 355-2762
Fax
(424) 355-2760
NPI assigned
Mar 13, 2015
Last updated
May 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Authorized official

Name
Mr. Felix Lantsman
Title
President / Ceo
Phone
(415) 806-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3860 Del Amo Blvd Ste 402
Torrance, CA 90503-2196

Mailing address

3860 Del Amo Blvd
Ste 402
Torrance, CA 90503-2196
Phone (424) 355-2762

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1548653694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 DEL AMO BLVD",
            "address_2": "STE 402",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032196",
            "telephone_number": "424-355-2762",
            "fax_number": "424-355-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 DEL AMO BLVD STE 402",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032196",
            "telephone_number": "424-355-2762",
            "fax_number": "424-355-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MOLECULAR DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "LANTSMAN",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "415-806-3618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.