Lab Genomics, LLC
NPI 1225316482 · Clinical Medical Laboratory · Fountain Valley, CA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1225316482
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Susham Manaktala, Executive Administration(714) 336-1379
- License
- CLF00341087 (CA)
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,888 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Detection Test By Nucleic Acid for Multiple Organisms, Amplified Probe(s) Technique87801 | 672 | $69 |
| Surgical Pathology Consultation and Report, Comprehensive88325 | 317 | $157 |
| Detection Test By Nucleic Acid for Vancomycin Resistance Strep (vre), Amplified Probe Technique87500 | 299 | $34 |
| Detection Test By Nucleic Acid for Mycobacteria Tuberculosis (tb Bacteria), Amplified Probe Technique87556 | 273 | $41 |
| Measurement of Dna of Bacteria in Vaginal Fluid Specimen81514 | 176 | $258 |
| Detection Test By Nucleic Acid for Multiple Organisms, Direct Probe(s) Technique87800 | 96 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2012-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.