Organization Active NPI

Biognomics Lab, LLC

  • Clinical Laboratory Director (Non-physician)
  • Irvine, CA
National Provider Identifier
1700466745
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
BIOGNOMICS LAB, LLC
Practice address
16485 Laguna Canyon Rd Ste 125
Irvine, CA 92618-3837
Phone
(949) 932-0966
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Alvin Velarde
Title
Owner/Chief Operating Officer
Phone
(949) 677-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

16485 Laguna Canyon Rd Ste 125
Irvine, CA 92618-3837

Mailing address

16485 Laguna Canyon Rd Ste 125
Irvine, CA 92618-3837
Phone (949) 932-0966

National Provider Directory

National Provider Directory

Locations

16485 Laguna Canyon Rd
Ste 125
Irvine, CA 92618
Phone (949) 929-4922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1700466745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16485 LAGUNA CANYON RD STE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183837",
            "telephone_number": "949-932-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16485 LAGUNA CANYON RD STE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183837",
            "telephone_number": "949-932-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOGNOMICS LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER/CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "949-677-7101"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "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 Apr 14, 2021; 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.