Organization Active NPI

Milagen, Inc.

  • Clinical Medical Laboratory
  • Emeryville, CA
National Provider Identifier
1306558044
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MILAGEN, INC.
Practice address
1255 Park Ave Ste B
Emeryville, CA 94608-3679
Phone
(510) 597-1244
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Christine Chavany, PHD, RAC
Title
Director of Operations & Compliance
Phone
(510) 597-1244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1255 Park Ave Ste B
Emeryville, CA 94608-3679

Mailing address

1255 Park Ave Ste B
Emeryville, CA 94608-3679

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2269442Milagen Inc1255 Park Ave Ste B, Emeryville, CA 94608RegistrationDec 5, 2026

National Provider Directory

National Provider Directory

Locations

1255 Park Ave
Ste B
Emeryville, CA 94608
Phone (510) 597-1244

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1306558044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PARK AVE STE B",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 PARK AVE STE B",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083679",
            "telephone_number": "510-597-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "CHAVANY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & COMPLIANCE",
        "authorized_official_telephone_number": "510-597-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RAC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.