Monogram Biosciences, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MONOGRAM BIOSCIENCES, INC

Practice address

347 Oyster Point Blvd
South San Francisco, CA 94080-1992

Phone

(800) 777-0177

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly T Williams

Title

Vice President

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Monogram Biosciences, Inc

  • Clinical Medical Laboratory
  • South San Francisco, CA
  • NPI 1902865868

  O20051028001036

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Monogram Biosciences2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Monogram Biosciences, Inc

  • Clinical Medical Laboratory
  • South San Francisco, CA
  • NPI 1902865868
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Cromwell, CT
  • NPI 1700517984

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1679122261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 OYSTER POINT BLVD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801992",
            "telephone_number": "800-777-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONOGRAM BIOSCIENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-222-7566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2168795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karrina Mock, CRNA
• Dasarahally Mohan, MD
• Neelima Archana Mohan, MD
• Arturo Molina, M.D.
• Alastair Tabunda Mondala, M.D.
• Monogram Biosciences, Inc
• Ricardo Montanez
• Rafael Montijo, RRT-NPS
• Christopher Moo, PHARM.D.
• Carolyn Maryam Moody, LCSW

• Clinical Medical Laboratory in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.