Steven John Avolicino

Primary specialty

Histology Specialist/TechnologistTaxonomy code 246QH0600X

Legal business name

STEVEN JOHN AVOLICINO

Practice address

2829 Depot Rd
#4
Hayward, CA 94545-2359

Phone

(510) 785-6324

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Steven John Avolicino

Title

Owner

Phone

(510) 785-6324

Specialties & licenses 1

Addresses

Other names 1

• Histo-TEC Laboratory Doing business as

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1104099019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 DEPOT RD",
            "address_2": "#4",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452359",
            "telephone_number": "510-785-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 DEPOT RD",
            "address_2": "#4",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452359",
            "telephone_number": "510-785-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN JOHN AVOLICINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "AVOLICINO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-785-6324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246QH0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Histo-TEC Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Histology Specialist/Technologist in Hayward, CA
• Providers in Hayward, CA by specialty
• Histology Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.