Igenome, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IGENOME, INC.

Practice address

1 World Trade Ctr FL 8
Long Beach, CA 90831-0002

Phone

(267) 896-2176

NPI assigned

Apr 23, 2020

Organization subpart

No

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

Authorized official

Name

Yu Song

Title

Pharmacist-in-Charge

Phone

(267) 896-2176

Specialties & licenses 4

Addresses

Other names 1

• iGenome Health Doing business as

Electronic endpoints 2

Tax ID family

Igenome Cancer Institute4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Igenome, Inc.

  • Pharmacy
  • Long Beach, CA
  • NPI 1104446798
  NPD tax ID
• Igenome, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Long Beach, CA
  • NPI 1770102105
  NPD tax ID
• Igenome, Inc.

  • Clinical Medical Laboratory
  • Long Beach, CA
  • NPI 1871113431
  NPD tax ID

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1689294241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CHESTNUT ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WORLD TRADE CTR FL 8",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908310002",
            "telephone_number": "267-896-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGENOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YU",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "267-896-2176"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.iGenomeHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1835 Chestnut St Apt 3R",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191033702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.iGenomeHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 World Trade Ctr Fl 8",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908310002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "iGenome Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laja I Ibraheem, MD
• Mireille Ibrahim, RN
• Yoko Ichimura, LCPC
• Shala Idlibi
• Igenome, Inc.
• Igenome, Inc.
• Igenome, Inc.
• Jovan Iglesias
• Annalea Ignacio
• Grace Rogacion Ignacio, D.D.S

• Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.