Provider Demographics
NPI:1366277030
Name:ZHINA-X GENOMIC LABORATORIES
Entity type:Organization
Organization Name:ZHINA-X GENOMIC LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HALEH
Authorized Official - Middle Name:
Authorized Official - Last Name:FARZANMEHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-371-6707
Mailing Address - Street 1:18201 MCDURMOTT W STE B
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-4748
Mailing Address - Country:US
Mailing Address - Phone:703-371-6707
Mailing Address - Fax:
Practice Address - Street 1:18201 MCDURMOTT W STE B
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-4748
Practice Address - Country:US
Practice Address - Phone:703-371-6707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)Group - Multi-Specialty
No207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular GeneticsGroup - Multi-Specialty
No207SM0001XAllopathic & Osteopathic PhysiciansMedical GeneticsMolecular Genetic PathologyGroup - Multi-Specialty
No207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical PathologyGroup - Multi-Specialty
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic PathologyGroup - Multi-Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME112601OtherMEDICAL BOARD OF FLORIDA
GA86905OtherGEORGIA COMPOSITE MEDICAL BOARD
KY44817OtherMEDICAL BOARD OF KENTUCKY
CODR.0050539OtherMEDICAL BOARD OF COLORADO
CAA112919OtherMEDICAL BOARD OF CALIFORNIA
CACDF-90013302OtherCALIFORNA DEPARTMENT OF PUBLIC HEALTH
VA0101245916OtherMEDICAL BOARD FO VIRGINIA