NPIMap

Organization Active NPI

Medomics, LLC

  • Clinical Medical Laboratory
  • Azusa, CA
National Provider Identifier
1649408840
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
7216791 Issued in CA
Legal business name
MEDOMICS, LLC
Practice address
426 N San Gabriel Ave
Azusa, CA 91702-3451
Phone
(626) 804-3645
Fax
(626) 804-3648
NPI assigned
Jun 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. Steve Sommer, M.D., PH.D.
Title
Founder/Ceo
Phone
(626) 804-3645

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.)Group: 193400000X SINGLE SPECIALTY GROUP 170300000X
Clinical Medical Laboratory 291U00000X 7216791 CA Primary

Addresses

Primary practice location

426 N San Gabriel Ave
Azusa, CA 91702-3451

Mailing address

426 N. San Gabriel Avenue
Azusa, CA 91102
Phone (626) 804-3645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1649408840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N. SAN GABRIEL AVENUE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91102",
            "telephone_number": "626-804-3645",
            "fax_number": "626-804-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N SAN GABRIEL AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023451",
            "telephone_number": "626-804-3645",
            "fax_number": "626-804-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDOMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "626-804-3645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "7216791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.