Gentech Laboratories of California

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENTECH LABORATORIES OF CALIFORNIA

Practice address

750 Story Rd
San Jose, CA 95122-2604

Phone

(408) 614-7182

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Vince Thayer

Title

President

Phone

(408) 614-7182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1326624818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222604",
            "telephone_number": "408-614-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTECH LABORATORIES OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-614-7182"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Jose, CA
• Providers in San Jose, 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 Apr 18, 2023; 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.