Active NPI
Metic Immunogenetics Consultants, Inc.
Doing business as METIC IC, Inc.
- Clinical Medical Laboratory
- Los Angeles, CA
National Provider Identifier
1861666406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.