Organization Active NPI

Bio Genetisys, Inc.

  • Clinical Medical Laboratory
  • Brea, CA
National Provider Identifier
1831564483
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF348708 Issued in CA
Legal business name
BIO GENETISYS, INC.
Practice address
471 W Lambert Rd
Suite 104
Brea, CA 92821-3921
Phone
(714) 257-9344
Fax
(714) 257-9348
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Mrs. Katerina A Karapetyan
Title
President
Phone
(714) 257-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF348708 CA Primary

Addresses

Primary practice location

471 W Lambert Rd
Suite 104
Brea, CA 92821-3921

Mailing address

471 W Lambert Rd
Suite 104
Brea, CA 92821-3921
Phone (714) 257-9344

Other identifiers 1

IdentifierTypeStateIssuer
CLF348708OtherCACALIFORNIA DEPARTMENT OF PUBLIC HEALTH-LABORATORY FIELD SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160616000633 CA Part B Supplier - Independent Clinical Laboratory 0648561936 Practice locations: Brea, CA

National Provider Directory

National Provider Directory

Locations

471 W Lambert Rd
Ste 104
Brea, CA 92821
Phone (562) 447-5012

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1831564483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 W LAMBERT RD",
            "address_2": "SUITE 104",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213921",
            "telephone_number": "714-257-9344",
            "fax_number": "714-257-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W LAMBERT RD",
            "address_2": "SUITE 104",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213921",
            "telephone_number": "714-257-9344",
            "fax_number": "714-257-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO GENETISYS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-257-9344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF348708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH-LABORATORY FIELD SERVICES",
            "identifier": "CLF348708",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.