NPIMap

Organization Active NPI

Igenome, Inc.

Doing business as Igenome Cancer Institute

  • Clinical Medical Laboratory
  • Long Beach, CA
National Provider Identifier
1871113431
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IGENOME, INC.
Doing business as
Igenome Cancer Institute
iGenome Health
Practice address
1 World Trade Ctr FL 8
Long Beach, CA 90831-0002
Phone
(267) 896-2176
NPI assigned
Apr 23, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Yu SongNPI 1538498548
Title
Ceo
Phone
(267) 896-2176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Clinical Genetics (M.D.) Physician 207SG0201X
Clinical Biochemical Genetics Physician 207SG0202X
Clinical Molecular Genetics Physician 207SG0203X
Ph.D. Medical Genetics Physician 207SG0205X

Addresses

Primary practice location

1 World Trade Ctr FL 8
Long Beach, CA 90831-0002

Mailing address

1835 Chestnut St Apt 3R
Philadelphia, PA 19103-3702
Phone (267) 896-2176

Other practice location 1

1835 Chestnut St Apt 3R
Philadelphia, PA 19103-3702
Phone (267) 896-2176

Other names 2

  • IGENOME CANCER INSTITUTE Doing business as
  • iGenome Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.iGenomeHealth.org Health Information Exchange (HIE)
CONNECT URL www.iGenomeHealth.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Igenome Cancer Institute4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 World Trade Ctr
Fl 8
Long Beach, CA 90831
Phone (267) 896-2176

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1871113431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CHESTNUT ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033702",
            "telephone_number": "267-896-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WORLD TRADE CTR FL 8",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908310002",
            "telephone_number": "267-896-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 Chestnut St Apt 3R",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191033702",
            "country_code": "US",
            "telephone_number": "267-896-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IGENOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-896-2176"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0205X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.iGenomeHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1835 Chestnut St Apt 3R",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191033702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.iGenomeHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 World Trade Ctr Fl 8",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908310002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "IGENOME CANCER INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iGenome Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.