=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497981062
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NENE SABADO CADAG MEDICAL TECHNOLOGIST
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2009
-----------------------------------------------------
Last Update Date | 06/23/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1379 PEARSON SPRINGS CT
-----------------------------------------------------
City | CHULA VISTA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91913-1841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-216-9983
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1700 W PARK DR
-----------------------------------------------------
City | WESTBOROUGH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01581-3939
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-357-5744
-----------------------------------------------------
Fax | 508-389-5558
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246ZG1000X
-----------------------------------------------------
Taxonomy Name | Medical Geneticist (PhD) Specialist/Technologist
-----------------------------------------------------
License Number | 014370
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------