Micronoma Inc.
Pathology (Clinical Laboratory Director, Non-physician)

Address: 6342 Ferris Sq, San Diego, CA 92121-3207
Phone: 8583537016

Micronoma Inc. (NPI# 1265036610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265036610
Entity Type Organization
Organization Name MICRONOMA INC.
Practice Address 6342 Ferris Sq
San Diego
CA 92121-3207
Practice Telephone 8583537016
Mailing Address 6342 Ferris Sq
San Diego
CA 92121-3207
Mailing Telephone 8583537016
Authorized Official Name Sandrine Miller-montgomery (CEO)
Authorized Official Telephone 8583537016
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-25
Last Update Date 2020-11-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 247ZC0005X Pathology · Clinical Laboratory Director, Non-physician Technologists, Technicians & Other Technical Service Providers

Other Provider/Organization Names

Other Name Type Code
Micronoma Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 247ZC0005X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Pathology
Specialization Clinical Laboratory Director, Non-physician

Taxonomy Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Notes: Source: National Uniform Claim Committee [1/1/2007: new]

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1811492028 Andy Madoyan Pathology 1737 E Washington Blvd Ste 5, Pasadena, CA 91104-2772 2018-03-28
1972045110 Anthony Butch Pathology 2122 Granville Ave, Los Angeles, CA 90095-6106 2016-11-04
1730589102 Dale Ann Schwab Pathology 5785 Corporate Ave, Cypress, CA 90630-4726 2014-09-03
1992366843 Tharanga Niroshini Senaratne Pathology 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2019-06-21
1205494218 Jack Ji Pathology 180 Kimball Way, South San Francisco, CA 94080-6218 2019-06-04
1831753839 Daniel Yue-king Chan Pathology 430 S Cataract Ave, San Dimas, CA 91773-2902 2019-04-24
1265700660 Ketevan Gendzekhadze Pathology 1500 Duarte Rd, Duarte, CA 91010-3012 2011-12-13
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Office Location

Street Address 6342 FERRIS SQ
City SAN DIEGO
State CA
Zip Code 92121-3207

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NPI Name Taxonomy Address Enumeration
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1831674464 Stepahnie Becerra Behavior Technician 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 2018-09-28
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Competitor

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City SAN DIEGO
Zip Code 92121

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Dataset Information

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.