Organization Active NPI

Metic Immunogenetics Consultants, Inc.

Doing business as METIC IC, Inc.

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1861666406
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
METIC IMMUNOGENETICS CONSULTANTS, INC.
Doing business as
METIC IC, Inc.
Practice address
1640 Marengo Street
Suite 410
Los Angeles, CA 90033
Phone
(323) 221-2177
Fax
(323) 221-2176
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Yuichi Iwaki, M.D.
Title
President (Owner)
Phone
(323) 221-2177

Specialties & licenses 1

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

Addresses

Primary practice location

1640 Marengo Street
Suite 410
Los Angeles, CA 90033

Mailing address

1640 Marengo Street
Suite 410
Los Angeles, CA 90033
Phone (323) 221-2177

Other names 1

  • METIC IC, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1640 Marengo St
Ste 410
Los Angeles, CA 90033
Phone (323) 221-2177

1420 San Pablo St
Los Angeles, CA 90089
Phone (323) 442-7088

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1861666406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MARENGO STREET",
            "address_2": "SUITE 410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-221-2177",
            "fax_number": "323-221-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MARENGO STREET",
            "address_2": "SUITE 410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-221-2177",
            "fax_number": "323-221-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METIC IMMUNOGENETICS CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "IWAKI",
        "authorized_official_first_name": "YUICHI",
        "authorized_official_title_or_position": "PRESIDENT (OWNER)",
        "authorized_official_telephone_number": "323-221-2177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METIC IC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.