I2B Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 00344005 Issued in CA

Legal business name

I2B LAB LLC

Practice address

4631 Teller Ave
Suite 100
Newport Beach, CA 92660-8105

Phone

(949) 335-7510

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gowriharan Thaiyananthan

Title

Owner

Phone

(203) 376-6364

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1851739619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 TELLER AVE",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 TELLER AVE",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608105",
            "telephone_number": "949-335-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I2B LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "THAIYANANTHAN",
        "authorized_official_first_name": "GOWRIHARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-376-6364",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 00344005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hwang
• Hui Hwang, LAC
• Michael Soonwon Hwang, M.D.
• Michelle Hy, AMFT
• Shannon Patricia Hybl, LMFT
• Angela Cerice Iacovino, D.C.
• Ian Dworkin, M.D. Inc.
• Alexandra Georgiana Ianculescu, M.D., PH.D.
• Michelle Beth Iankowitz
• John Mina Ibrahim, MD

• Clinical Medical Laboratory in Newport Beach, CA
• Providers in Newport Beach, 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 Jun 13, 2013; 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.