ILLUMINA, INC (NPI# 1427422526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427422526 |
| Entity Type | Organization |
| Organization Name | ILLUMINA, INC |
| Other Organization Name | ILLUMINA CLINICAL SERVICES LABORATORY |
| Practice Address |
5200 Illumina Way San Diego CA 92122-4616 |
| Practice Telephone | 8587363564 |
| Mailing Telephone | 8587363564 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | PHILLIP COTTER (DIRECTOR OF CLINICAL LABORATORY) |
| Authorized Official Telephone | 8587363564 |
| Authorized Official Credential | PH.D., FACMG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 1620 | MD | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | 031445 | PA | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | LCO00706 | RI | Laboratories |
| N | 291U00000X | Clinical Medical Laboratory | 800026847 | FL | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | CLF00338066 | CA | Laboratories |
| Other Name | Type Code |
|---|---|
| Illumina Clinical Services Laboratory | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ILLUMINA, INC. | 5200 Illumina Way, San Diego, CA 92122-4616 |
| Oregon Corporations, Companies and Business Names | ILLUMINA, INC. | 5200 Illumina Way, San Diego, CA 92122 |
| New York State Corporations | ILLUMINA, INC. | 1 Lincoln Plaza, Apt 33k, New York, Ny 100237138 |
| Street Address |
5200 ILLUMINA WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483510 | Skylinedx Usa Inc. | Clinical Medical Laboratory | 3030 Bunker Hill St Ste 230, San Diego, CA 92109-5757 | 2020-09-24 |
| 1720699705 | Mindera Corporation | Clinical Medical Laboratory | 5795 Kearny Villa Rd Ste 200, San Diego, CA 92123-1111 | 2020-08-12 |
| 1912521568 | Helix Opco, LLC | Clinical Medical Laboratory | 9875 Towne Centre Dr, San Diego, CA 92121-1975 | 2020-05-29 |
| 1952934556 | Family Fertility Cryobank | Clinical Medical Laboratory | 6699 Alvarado Rd Ste 2208, San Diego, CA 92120-5240 | 2020-02-21 |
| 1033741566 | Stratify Genomics | Clinical Medical Laboratory | 3525 Del Mar Heights Rd # 891, San Diego, CA 92130-2199 | 2020-02-12 |
| 1598260986 | H&m Molecular Diagnostics, LLC | Clinical Medical Laboratory | 10581 Roselle St Ste 120, San Diego, CA 92121-1521 | 2018-03-27 |
| 1790139061 | Epic Sciences, Inc. | Clinical Medical Laboratory | 9381 Judicial Dr, Suite 200, San Diego, CA 92121-3832 | 2016-04-22 |
| 1891152534 | Gensi | Clinical Medical Laboratory | 11125 Flintkote Ave, Suite J, San Diego, CA 92121-1213 | 2016-01-26 |
| 1427428069 | Applied Proteomics, Inc. | Clinical Medical Laboratory | 3545 John Hopkins Ct, Suite 150, San Diego, CA 92121-1112 | 2015-09-25 |
| 1699151746 | Delta Diagnostics Inc | Clinical Medical Laboratory | 9151 Chesapeake Dr, San Diego, CA 92123-1002 | 2015-07-30 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.