Healthcare Provider Details

I. General information

NPI: 1992526222
Provider Name (Legal Business Name): SACRAMENTO ARC POINT LABS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2024
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3431 MISTY MORNING CIR
SACRAMENTO CA
95827-3050
US

IV. Provider business mailing address

2415 CASCADE DR
WALNUT CREEK CA
94598-4314
US

V. Phone/Fax

Practice location:
  • Phone: 855-727-2522
  • Fax: 916-229-8336
Mailing address:
  • Phone: 855-727-2522
  • Fax: 916-229-8336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MATHEW BEASLEY
Title or Position: CEO
Credential:
Phone: 855-727-2522