Tib Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TIB DIAGNOSTICS LLC

Practice address

1799 Bayshore Hwy Ste 217
Burlingame, CA 94010-1312

Phone

(650) 240-3435

NPI assigned

Sep 25, 2021

Organization subpart

No

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

Authorized official

Name

Naweed Muhammad

Title

Authorized Official

Phone

(408) 313-7957

Specialties & licenses 1

Addresses

Other names 1

• TIB Diagnostics LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1043981327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42808 CHRISTY ST STE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 BAYSHORE HWY STE 217",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101312",
            "telephone_number": "650-240-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIB DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "NAWEED",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "408-313-7957"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.tibdiagnostics.com/",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "address_1": "1799 Bayshore Hwy Ste 217",
            "city": "Burlingame",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940101312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TIB Diagnostics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Burlingame, CA
• Providers in Burlingame, 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 Sep 25, 2021; 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.