Plaxgen Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2084226 Issued in CA

Legal business name

PLAXGEN INC

Practice address

428 Oakmead Pkwy
Sunnyvale, CA 94085-4708

Phone

(650) 452-2856

Fax

(408) 331-3851

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shanmugavel Madasamy, PH.D

Title

President

Phone

(650) 452-2856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1104220193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 OAKMEAD PKWY",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854708",
            "telephone_number": "650-452-2856",
            "fax_number": "408-331-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 OAKMEAD PKWY",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854708",
            "telephone_number": "650-452-2856",
            "fax_number": "408-331-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAXGEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MADASAMY",
        "authorized_official_first_name": "SHANMUGAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-452-2856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2084226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Sunnyvale, CA
• Providers in Sunnyvale, 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 Nov 17, 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.