Cytogen Labs, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CYTOGEN LABS, INC

Practice address

2183 Fairview Rd Ste 100
Costa Mesa, CA 92627-5671

Phone

(949) 244-4500

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Ian Kuemerle

Title

Ceo

Phone

(714) 470-4265

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1851877989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 FAIRVIEW RD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275663",
            "telephone_number": "714-470-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 FAIRVIEW RD STE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275671",
            "telephone_number": "949-244-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTOGEN LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "KUEMERLE",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-470-4265"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CGM",
            "affiliation": "N",
            "endpointDescription": "Lab Nexxus",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2183 Fairview Rd Ste 100",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926275671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Medical Laboratory in Costa Mesa, CA
• Providers in Costa Mesa, 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 May 12, 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.