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1235671884 NPI number — CERNOSTICS, INC.

NPI Number: 1235671884
Health Care Provider/Practitioner: CERNOSTICS, INC.

Information about “1235671884” NPI (CERNOSTICS, INC.) exists in 1235671884 in HTML format HTML  |  1235671884 in plain Text format TXT  |  1235671884 in PDF (Portable Document Format) PDF  |  1235671884 in an XML format XML  formats.

NPI Number : 1235671884 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235671884",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CERNOSTICS, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2014 SAN MIGUEL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRIENDSWOOD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77546-5913",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-788-9007",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 S COMMONS STE 245",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15212-5359",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-788-9007",
    "PracticeLocationAddressFaxNumber": "855-929-0022",
    "EnumerationDate": "11/14/2016",
    "LastUpdateDate": "12/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAETZOLD",
    "AuthorizedOfficialFirstName": "DEREK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "832-974-1551",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "34818",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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