Healthcare Provider Details

I. General information

NPI: 1053259887
Provider Name (Legal Business Name): FREENOME HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 MARINA BLVD
BRISBANE CA
94005-1827
US

IV. Provider business mailing address

3300 MARINA BLVD
BRISBANE CA
94005-1827
US

V. Phone/Fax

Practice location:
  • Phone: 650-446-6630
  • Fax:
Mailing address:
  • Phone: 650-446-6630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DORSCHNER
Title or Position: CLINICAL LABORATORY DIRECTOR
Credential:
Phone: 650-676-7660