Healthcare Provider Details

I. General information

NPI: 1770942609
Provider Name (Legal Business Name): COLOR DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2016
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 OYSTER POINT BLVD STE 300-3A
SOUTH SAN FRANCISCO CA
94080-1974
US

IV. Provider business mailing address

365 OYSTER POINT BLVD STE 300-3A
SOUTH SAN FRANCISCO CA
94080-1974
US

V. Phone/Fax

Practice location:
  • Phone: 844-352-6567
  • Fax:
Mailing address:
  • Phone: 844-352-6567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberCLF00346276
License Number StateCA

VIII. Authorized Official

Name: MAWADDA ALNAEELI
Title or Position: SR DIR CLINICAL TESTING OPERATIONS
Credential:
Phone: 844-352-6567