Esoterix Genetic Laboratories, Llc

LBN: Esoterix Genetic Laboratories, Llc
Esoterix Genetic Laboratories, Llc is an health care organization with primary practice located at 17772 17Th St Suite 200 Room 217, Tustin CA 92780-1944. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Esoterix Genetic Laboratories, Llc can be contacted via phone (800) 710-1800, or through Williams, Kimberly T via phone (800) 222-7566.

Contact Information

Primary practice address
17772 17Th St Suite 200 Room 217 Tustin CA 92780-1944
Phone: (800) 710-1800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Kimberly T
Phone: (800) 222-7566

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1922309376
LBN Legal business name Esoterix Genetic Laboratories, Llc
DBA Doing business as
Authorized official Williams, Kimberly T
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2010
Last updated Jun 24th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922309376 NPPES
Other 05D0642715 CLIA

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