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Igenome, Inc.
Specialty Pharmacy in Long Beach, California
NPI 1770102105

Igenome, Inc. is a Specialty Pharmacy based in Philadelphia, CA and is specialized in Specialty Pharmacy. Igenome, Inc. practices in Long Beach, CA. The NPI Number for Igenome, Inc. is 1770102105 and holds a License No. (California).

The current practice location address for Igenome, Inc. is 1 World Trade Ctr Fl 8, Long Beach, CA and can be reached out via phone at 267-896-2176. You can also correspond with Igenome, Inc. through the mailing address at 1835 CHESTNUT ST APT 3R, PHILADELPHIA, PA - 19103-3702 (mailing address contact number: 267-896-2176).

Location: 1 World Trade Ctr Fl 8, Long Beach, CA, 19103-3702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770102105
Provider Name
Igenome, Inc.
Credential
Provider Entity Type
Organization
Address
1 World Trade Ctr Fl 8, Long Beach, CA, 19103-3702
Phone Number
267-896-2176
Fax Number
Provider Enumeration Date
04/15/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 CA MEDICAID
PENDING 05 MA
PENDING 05 NJ
PENDING 05 PA
PENDING 05 NY
institution
Provider Business Practice Location Address Details
Address
1 World Trade Ctr Fl 8
City
Long Beach
State
California
Zip
90831-0002
Phone Number
267-896-2176
Fax Number
person
Provider Business Mailing Address Details
Address
1835 Chestnut St Apt 3R
City
Philadelphia
State
Pennsylvania
Zip
19103-3702
Phone Number
267-896-2176
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
()
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
()
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 4
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(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.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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