MEDICARE: LUNG CANCER PROTEOMICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1841800430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNG CANCER PROTEOMICS LLC

Provider Business Mailing Address
First Line	:	6541 VIA DEL ORO STE B
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1207
Country	:	US
Telephone Number	:	219-510-0120
Fax Number	:

Provider Business Practice Location Address
First Line	:	6541 VIA DEL ORO STE B
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1207
Country	:	US
Telephone Number	:	219-510-0120
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RHYS G MUSSMAN
Credential	:
Telephone Number	:	219-510-0120

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	08/07/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1578919510 — LEITERS ENTERPRISES INC
Practice Location Address:

6541 VIA DEL ORO STE B
SAN JOSE, CA
95119-1207

Practice Phone: 408-326-1530
Practice Fax: 408-824-1368

1043213523 — ADRIENNE CYGAL SABIN DPM
Practice Location Address:

5327 HOUNDS EST
SAN JOSE, CA
95135-1207

Practice Phone: 408-275-9200
Practice Fax:

1558372292 — MS. DEANNA CAROLE GRENIER-MULLINS N.P.
Practice Location Address:

3801 MIRANDA AVE , HBPC-SAN JOSE CLINIC
PALO ALTO, CA
94304-1207

Practice Phone: 408-363-3000
Practice Fax:

1114654308 — JESSICA NGO
Practice Location Address:

1207 BRIARLEAF CIR
SAN JOSE, CA
95131-3103

Practice Phone: 408-891-8468
Practice Fax:

1346002029 — DORIS YEUNG M.A. CCC-SLP
Practice Location Address:

1207 SIERRA VILLAGE WAY
SAN JOSE, CA
95132-2773

Practice Phone: 408-598-7568
Practice Fax:

Directions to “LUNG CANCER PROTEOMICS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.