Vibrant Genomics LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VIBRANT GENOMICS LLC.

Practice address

1390 Bayport Ave
San Carlos, CA 94070-5305

Phone

(650) 808-5824

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

John J Rajasekaran

Title

Ceo

Phone

(650) 808-5824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1982082681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 BAYPORT AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705305",
            "telephone_number": "650-808-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 BAYPORT AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705305",
            "telephone_number": "650-808-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT GENOMICS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "RAJASEKARAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-808-5824"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uriel Velazquez, B.S.
• Andrew Vercellino, DC
• Inge L Verschueren, OTR/L
• Vibrant America Clinical Laboratory
• Vibrant America LLC
• Vibrantcare Outpatient Rehabilitation of California Inc
• Vibrantcare Rehabilitation
• Jorge Luis Vidarte
• Elaina Claudine Vielbaum
• Ricardo Villa, M,A.

• Clinical Medical Laboratory in San Carlos, CA
• Providers in San Carlos, 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 13, 2015; 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.