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LAB GENOMICS, LLC
NPI 1225316482
Clinical Medical Laboratory in Fountain Valley, CA

Active since July 21, 2011
11160 WARNER AVE STE 415, FOUNTAIN VALLEY, CA 92708(714) 438-1009(714) 438-2484 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lab Genomics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAB GENOMICS, LLC (NPI 1225316482) is a healthcare organization registered as a clinical medical laboratory in Fountain Valley, California and active in the NPI registry since July 2011. The organization lists Susham Manaktala, Executive Administration, as its authorized official.

NPPES Registry Identity

NPI1225316482
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLAB GENOMICS, LLC
Location Address11160 WARNER AVE STE 415Fountain Valley, CA 92708-4056
Mailing Address11160 Warner Ave Ste 415Fountain Valley, CA 92708-4056 · (714) 438-1009 · Fax (714) 438-2484
Phone(714) 438-1009
Fax(714) 438-2484
Organization SubpartNo
Authorized OfficialSusham ManaktalaExecutive Administration · (714) 336-1379
Enumeration DateJuly 21, 2011
Last NPPES UpdateAugust 8, 2012
✔ NPI 1225316482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in CA · CLF00341087
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.
11160 WARNER AVE STE 415, Fountain Valley, CA 92708
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Other Identifiers 2

OtherCLF00341087CA · California State
Other05D2026572Clinical Lab Improvement Ammendment

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lab Genomics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120815000238Non-DME Part B · Independent Clinical LaboratoryDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lab Genomics, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Henry Tsai, M.D.
Pathology
NPI 1710913876
18322 MANITOBA LN
Huntington Beach, CA 92648
(714) 712-0843
✔ PECOS3.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801
This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.
672 services190 patients
Surgical pathology consultation and report, comprehensive 88325
A comprehensive surgical pathology consultation and report involves the detailed examination of tissue removed during surgery. This process aids in diagnosing diseases, assessing the extent of illness, and planning appropriate treatments. The findings are then compiled into a report for your doctor.
317 services250 patients
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500
The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.
299 services246 patients
Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique 87556
A detection test by nucleic acid for Mycobacteria Tuberculosis, using an amplified probe technique, is a diagnostic test for TB. It identifies the TB bacteria's genetic material in your body. It's fast, highly accurate, and can confirm TB presence even in small samples.
273 services224 patients
Measurement of dna of bacteria in vaginal fluid specimen 81514
This procedure involves analyzing a sample from the female body to measure the amount of bacterial DNA present. It is a common method used to assess the balance of microorganisms, which is crucial for maintaining good health. It's a simple, non-invasive test.
176 services146 patients
Detection test by nucleic acid for multiple organisms, direct probe(s) technique 87800
This test uses a technique called a direct probe to detect the presence of multiple organisms in a sample. It works by identifying specific genetic material, or nucleic acids, of the organisms. This can help diagnose various infections quickly and accurately.
96 services48 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lab Genomics, LLC's NPI number?

The NPI number for Lab Genomics, LLC is 1225316482. It was assigned to this organization in the NPPES registry on July 21, 2011.

Where is Lab Genomics, LLC located?

Lab Genomics, LLC is located at 11160 Warner Ave Ste 415, Fountain Valley, CA 92708. The listed phone number is (714) 438-1009.

What is Lab Genomics, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Lab Genomics, LLC enrolled in Medicare?

Yes. Lab Genomics, LLC is registered in the Medicare PECOS enrollment system.

When is Lab Genomics, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Independent Clinical Laboratory) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lab Genomics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Lab Genomics, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lab Genomics, LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lab Genomics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lab Genomics, LLC was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.