Healthcare Provider Details

I. General information

NPI: 1689607384
Provider Name (Legal Business Name): CAREDX INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 BAYSHORE BLVD
BRISBANE CA
94005-1021
US

IV. Provider business mailing address

3260 BAYSHORE BLVD
BRISBANE CA
94005
US

V. Phone/Fax

Practice location:
  • Phone: 415-287-2300
  • Fax: 415-287-2471
Mailing address:
  • Phone: 415-287-2300
  • Fax: 415-287-2471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number332008
License Number StateCA

VIII. Authorized Official

Name: JOHN HANNA
Title or Position: CEO
Credential:
Phone: 415-287-2300