Biogenesis Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIOGENESIS DIAGNOSTICS LLC

Practice address

17425 Chatsworth St Ste 102
Granada Hills, CA 91344-9805

Phone

(747) 300-2112

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Jocelyn Fernando

Title

Ceo

Phone

(747) 300-2112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1942938931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 CHATSWORTH ST STE 102",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913449805",
            "telephone_number": "747-300-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 CHATSWORTH ST STE 102",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913449805",
            "telephone_number": "747-300-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOGENESIS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-2112"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Granada Hills, 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 Oct 6, 2022; 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.