Esoterix Genetic Laboratories, Llc
LBN: Esoterix Genetic Laboratories, Llc
Esoterix Genetic Laboratories, Llc is an health care organization with primary practice located at 2440 S Sepulveda Blvd Ste 100, Los Angeles CA 90064-1784. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Genetics, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Esoterix Genetic Laboratories, Llc can be contacted via phone (310) 689-0610, or through Williams, Kimberly via phone (800) 222-7566.
Contact Information
Primary practice address
2440 S Sepulveda Blvd Ste 100
Los Angeles CA 90064-1784
Phone: (310) 689-0610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Genetics | 261QG0250X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1023319407 |
|---|---|
| LBN Legal business name | Esoterix Genetic Laboratories, Llc |
| DBA Doing business as | |
| Authorized official | Williams, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2010 |
| Last updated | Jan 2nd, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023319407 | NPPES |
| Other | 05D0907763 | CLIA |
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