Tethys Bioscience, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF336670 Issued in CA

Legal business name

TETHYS BIOSCIENCE, INC.

Practice address

5858 Horton Street
Suite 550
Emeryville, CA 94608-2170

Phone

(510) 420-6700

Fax

(510) 450-0675

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

George Devries

Title

Senior Director Finance and Adminis

Phone

(510) 420-6700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1114163953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 HORTON STREET",
            "address_2": "SUITE 550",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082170",
            "telephone_number": "510-420-6700",
            "fax_number": "510-450-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 HORTON STREET",
            "address_2": "SUITE 550",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082170",
            "telephone_number": "510-420-6700",
            "fax_number": "510-450-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETHYS BIOSCIENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR FINANCE AND ADMINIS",
        "authorized_official_telephone_number": "510-420-6700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF336670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Martin Takakjian, PH.D.
• Chelsea Talivaa
• Leah Jane Tapscott, NP
• Analise Tello
• Surafel Tensai
• Trebonyre Teves
• The Mindful Chow
• Julianah Monet Thomas
• Dacorey Thompson Demerson
• Leslie S C Tim, MD

• Clinical Medical Laboratory in Emeryville, CA
• Providers in Emeryville, 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 Jul 29, 2009; 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.