Provider Demographics
NPI:1427658848
Name:BREAKTHROUGH GENOMICS INC
Entity type:Organization
Organization Name:BREAKTHROUGH GENOMICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WENHUI
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:949-229-0094
Mailing Address - Street 1:2 HUGHES STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2034
Mailing Address - Country:US
Mailing Address - Phone:949-229-0094
Mailing Address - Fax:833-664-0856
Practice Address - Street 1:25 MAUCHLY STE 313
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2361
Practice Address - Country:US
Practice Address - Phone:949-229-0094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty