MEDICARE: BIOCEPT, INC.

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	800020273	FL
2	291U00000X	Clinical Medical Laboratory	1234	MD
3	291U00000X	Clinical Medical Laboratory	029350	PA
4	291U00000X	Clinical Medical Laboratory	LC00428	RI
5	291U00000X	Clinical Medical Laboratory	CLF331999	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902070030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOCEPT, INC.

Provider Business Mailing Address
First Line	:	FILE 1689, 1801 W OLYMPIC BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91199-0001
Country	:	US
Telephone Number	:	888-332-7410
Fax Number	:	877-754-5606

Provider Business Practice Location Address
First Line	:	9955 MESA RIM RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2911
Country	:	US
Telephone Number	:	858-320-8200
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT, CONTROLLER
Name	:	ROBERT WALSH
Credential	:
Telephone Number	:	858-320-3200

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	08/28/2023

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Directions to “BIOCEPT, INC. ” Practice Location

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