ESOTERIX GENETIC LABORATORIES LLC (NPI# 1982006318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982006318 |
| Entity Type | Organization |
| Organization Name | ESOTERIX GENETIC LABORATORIES LLC |
| Practice Address |
4814 Firenza Dr Cypress CA 90630-3567 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 6265430334 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | KIMBERLY WILLIAMS (VICE PRESIDENT) |
| 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 | 05D2047225 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ESOTERIX GENETIC LABORATORIES LLC | 531 S Spring St, Burlington, NC 27215-5866 |
| Virginia Business Entities | Esoterix Genetic Laboratories LLC | 531 S Spring Street, Burlington, North Carolina 27215 |
| Street Address |
4814 FIRENZA DR |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997882 | Selene Monique Bustamante | Assistant Behavior Analyst | 10202 Aurelia Ave, Cypress, CA 90630 | 2020-03-18 |
| 1063068872 | Harriet Lang | Technician | 10717 Thomas Circle, Cypress, CA 90630 | 2019-08-16 |
| 1831756527 | Faye Uy Dds, A Professional Corporation | Dentist | 9521 Valley View St, Cypress, CA 90630 | 2019-05-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1770007643 | Cory Glen Lovelace | Physical Therapist | 6452 Cantiles Ave, Cypress, CA 90630 | 2017-08-01 |
| 1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
| 1073922969 | Sungsim Hwang | Acupuncturist | 9091 Holder St #120, Cypress, CA 90630 | 2014-08-05 |
| 1821429499 | David Kim Endo Dmd Inc | Dentist | 9242 Walker St. Unit C, Cypress, CA 90630 | 2013-12-09 |
| 1235474941 | Arlen Grajeda | Marriage & Family Therapist | 5712 Campt St, Cypress, CA 90630 | 2012-12-06 |
| 1083968697 | Byungheon Moon | Acupuncturist | 5241 Lincoln Ave. Ste C1, Cypress, CA 90630 | 2012-11-05 |
| Find all providers in zip 90630 | ||||
| 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 |
|---|---|---|---|---|
| 1326604778 | Shalonda Renee' Johnson | Clinical Medical Laboratory | 20751 Cypress Crescent Ln, Cypress, TX 77433-6513 | 2019-05-10 |
| 1144715343 | America's Er Site 002 Imaging and Laboratory Services, LLC | Clinical Medical Laboratory | 13902 Spring Cypress Road, Suite C, Cypress, TX 77429 | 2018-06-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1205362480 | Mpa Associates | Clinical Medical Laboratory | 4171 Ball Rd # 248, Cypress, CA 90630-3465 | 2017-05-05 |
| 1780048843 | Laboratory Corporation of America | Clinical Medical Laboratory | 27150 Highway 290, Suite 500, Cypress, TX 77433-4930 | 2016-04-05 |
| 1376926196 | Medtech Laboratory Services LLC | Clinical Medical Laboratory | 11806 Barker Cypress, Cypress, TX 77433-1864 | 2015-06-30 |
| 1003220898 | H-e-b, Lp | Clinical Medical Laboratory | 14100 Spring Cypress Road, Cypress, TX 77429 | 2014-06-19 |
| 1386995777 | H-e-b, Lp | Clinical Medical Laboratory | 28550 Highway 290, Cypress, TX 77433 | 2012-09-25 |
| 1295094787 | Althea Scott | Clinical Medical Laboratory | 7818 Galleon Field Ln, Cypress, TX 77433-6160 | 2012-05-03 |
| 1619164498 | H-e-b, Lp | Clinical Medical Laboratory | 24224 Northwest Fwy, Cypress, TX 77429 | 2007-09-26 |
| Find all providers in CYPRESS | ||||
Please comment or provide details below to improve the information on ESOTERIX GENETIC LABORATORIES LLC.
| 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.