Lifecode, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00344435 Issued in CA

Legal business name

LIFECODE, INC

Practice address

348 Hatch Dr
Foster City, CA 94404-1106

Phone

(650) 209-8436

NPI assigned

Jul 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Rivest

Title

Ceo

Phone

(650) 209-8436

Specialties & licenses 1

Addresses

Other names 1

• Silicon Valley Biosystems, Inc. Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1033526124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 HATCH DRIVE",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "94404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 HATCH DR",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041106",
            "telephone_number": "650-209-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECODE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "RIVEST",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-209-8436"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00344435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silicon Valley Biosystems, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Foster City, CA
• Providers in Foster City, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.