ESOTERIX GENETIC LABORATORIES, LLC (NPI# 1679874028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679874028 |
| Entity Type | Organization |
| Organization Name | ESOTERIX GENETIC LABORATORIES, LLC |
| Practice Address |
1054 W Town and Country Rd Orange CA 92868-4716 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 7142459240 |
| Mailing Telephone | 8002227566 |
| Mailing Fax Number | 3364361048 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MR. WILLIAM B HAYES (CFO EVP TREASURER) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 05D0667837 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536107 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3 Forest Pkwy, Shelton, CT 06484-6122 | 2018-01-12 |
| 1659672004 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 533 W 57th St, New York, NY 10019-2901 | 2010-11-16 |
| 1043511496 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 12906 Tampa Oaks Blvd, Ste 300, Temple Terrace, FL 33637-1153 | 2010-11-16 |
| 1588965941 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 8300 Old Courthouse Rd Ste 240, Vienna, VA 22182-3822 | 2010-11-16 |
| 1467753814 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 4310 E Cotton Center Blvd Ste 120, Phoenix, AZ 85040-8857 | 2010-11-16 |
| 1649572017 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-11-17 |
| 1801197256 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 2000 Vivigen Way, Santa Fe, NM 87505-5600 | 2010-11-16 |
| 1023319407 | Esoterix Genetic Laboratories, LLC | Clinic/Center | 2440 S Sepulveda Blvd, Ste 100, Los Angeles, CA 90064-1784 | 2010-11-16 |
| 1922309376 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 17772 17th St, Suite 200 Room 217, Tustin, CA 92780-1944 | 2010-11-16 |
| 1689975021 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3400 Computer Dr, Westborough, MA 01581-1771 | 2010-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ESOTERIX GENETIC LABORATORIES, LLC | 3400 Computer Dr, Westborough, MA 01581-1771 |
| Colorado Business Entities | Esoterix Genetic Laboratories, LLC | 531 South Spring Street, Burlington, NC 27215 |
| Massachusetts Corporations | ESOTERIX GENETIC LABORATORIES, LLC | 231 Maple Avenue, Burlington, NC 27215 |
| Ohio Business Entities | ESOTERIX GENETIC LABORATORIES, LLC | 358 South Main Street, Burlington, NC 27215 |
| Street Address |
1054 W TOWN AND COUNTRY RD |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664967 | Genzyme Corporation | Clinical Medical Laboratory | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2006-03-24 |
| 1154659605 | Angela Francesa Linville | Specialist | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2009-11-20 |
| 1982897658 | Naigeng Qin | Medical Genetics | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2007-08-24 |
| 1992997662 | Tamra Lynn Johnston | Genetic Counselor, MS | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2007-08-15 |
| 1730371634 | Bing Huang | Medical Genetics | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2007-08-14 |
| 1871623942 | Caren Merrill | Genetic Counselor, MS | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2007-03-06 |
| 1255466140 | Dolores M. Madden | Genetic Counselor, MS | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2007-02-22 |
| 1578606505 | Sucheta Bhatt | Medical Genetics | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| 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 |
|---|---|---|---|---|
| 1790386746 | Medlab2020 Inc | Clinical Medical Laboratory | 1594 N Main St, Orange, CA 92867-3443 | 2020-11-05 |
| 1174758650 | Regents of The University of California | Clinical Medical Laboratory | 101 The City Dr S Bldg 23, Orange, CA 92868-3201 | 2009-05-27 |
| 1396989182 | Kdj Enterprises | Clinical Medical Laboratory | 1439 W Chapman Ave, Suite 59, Orange, CA 92868-2738 | 2009-04-24 |
| 1033137088 | Unilab Corporation | Clinical Medical Laboratory | 431 S Batavia St Ste 102, Orange, CA 92868-3937 | 2006-07-18 |
| 1649225632 | Genetics Center | Clinical Medical Laboratory | 211 South Main Street, Suite E, Orange, CA 92868 | 2006-05-24 |
| 1982664967 | Genzyme Corporation | Clinical Medical Laboratory | 1054 W Town and Country Rd, Orange, CA 92868-4716 | 2006-03-24 |
| 1619423282 | Newport Harbor Pathology Medical Group Inc | Clinical Medical Laboratory | 805 W La Veta Ave, Suite 104, Orange, CA 92868-3901 | 2016-09-01 |
| 1003277641 | Valiant Diagnostics Inc | Clinical Medical Laboratory | 960 N Tustin St, Orange, CA 92867-5956 | 2016-03-10 |
| 1124312475 | Niloufar Reisian | Clinical Medical Laboratory | 101 The City Dr S, Bldg 1- Room 3003, Orange, CA 92868-3201 | 2011-06-03 |
| 1114258464 | Alka R Kothari Md Inc | Clinical Medical Laboratory | 765 N Tustin St, Orange, CA 92867-7128 | 2010-01-27 |
| Find all providers in ORANGE | ||||
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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.