Healthcare Provider Details

I. General information

NPI: 1114852126
Provider Name (Legal Business Name): APEX COLLECTION & DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 18TH ST STE 501
SAN FRANCISCO CA
94110-2077
US

IV. Provider business mailing address

5133 DOWDELL AVE APT 18
ROHNERT PARK CA
94928-4174
US

V. Phone/Fax

Practice location:
  • Phone: 707-991-9022
  • Fax:
Mailing address:
  • Phone: 707-991-9022
  • 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: SHAWN DONTE HAYES
Title or Position: MANAGER
Credential:
Phone: 707-991-9022