Organization Active NPI

Burning Rock DX LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Irvine, CA
National Provider Identifier
1558093302
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
BURNING ROCK DX LLC
Practice address
121 Innovation Dr Ste 100
Irvine, CA 92617-3092
Phone
(949) 732-6488
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Mr. Lavee Yang
Title
Director of Quality
Phone
(608) 563-8063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

121 Innovation Dr Ste 100
Irvine, CA 92617-3092

Mailing address

121 Innovation Dr Ste 100
Irvine, CA 92617-3092
Phone (949) 732-6488

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2215839Burning Rock DX, LLC121 Innovation Dr Ste 100, Irvine, CA 92617AccreditationJul 6, 2027

National Provider Directory

National Provider Directory

Locations

121 Innovation Dr
Ste 100
Irvine, CA 92617
Phone (949) 732-6488

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1558093302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 INNOVATION DR STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173092",
            "telephone_number": "949-732-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 INNOVATION DR STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173092",
            "telephone_number": "949-732-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNING ROCK DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LAVEE",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY",
        "authorized_official_telephone_number": "608-563-8063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.