Mira Dx, NPI 1265742100
Clinical Medical Laboratory in Santa Monica, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1265742100
NPI Entity Type Organization
Provider Name Mira Dx
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1701 Colorado Avenue, Room 196, Santa Monica, CA, US
Provider Mailing Address 707 21st Pl, Room 196, Santa Monica, CA, US, 904023051
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D., PH.D. Joanne B Weidhaas
Official Position FOUNDER
Phone 203-671-1308

Primary Taxonomy

Taxonomy Code

291U00000X

Taxonomy Name Clinical Medical Laboratory
Classification

Clinical Medical Laboratory

Group

Laboratories

License No. 07D2006340
License State CA
Description (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.

Other Organization Name

3primiR, Inc.
Former Legal Business Name

Business Address

Mira Dx
1701 Colorado Avenue
Room 196

Santa Monica, CA, US

Phone: 424-387-8100
Fax: 424-387-8101

Mailing Address

Mira Dx
707 21st Pl
Room 196
Santa Monica, CA, US
ZIP 904023051
Phone: 203-671-1308
Fax: 203-671-1308

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

291U00000X

Laboratories

Clinical Medical Laboratory

CL-0672 CT No

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NPI Name Taxonomy Address

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MFT Yasmin Vishram-morris

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