Active NPI
Myome, Inc.
- Clinical Medical Laboratory
- Menlo Park, CA
National Provider Identifier
1336895366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MYOME, INC.
- Practice address
- 1505 Adams Dr Ste B1
Menlo Park, CA 94025-1451 - Phone
- (714) 878-9902
- NPI assigned
- Feb 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wang Miller Quinn
- Title
- Revenue Cycle Manager
- Phone
- (714) 878-9902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1505 Adams Dr Ste B1
Menlo Park, CA 94025-1451
Mailing address
PO Box 121935
75312
Dallas, TX 75312-1935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220504001273 | CA | Part B Supplier - Independent Clinical Laboratory | 2567859952 | Practice locations: Menlo Park, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2203070 | Myome, Inc | Accreditation | Nov 7, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1505 Adams Dr
Ste B1
Menlo Park, CA 94025
Phone (714) 878-9902
1455 Adams Dr
Ste 1150
Menlo Park, CA 94025
Phone (650) 582-1530
930 Brittan Ave
San Carlos, CA 94070
Phone (650) 582-1530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777939200000",
"number": "1336895366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121935",
"address_2": "75312",
"city": "DALLAS",
"state": "TX",
"postal_code": "753121935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 ADAMS DR STE B1",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251451",
"telephone_number": "714-878-9902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-28",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A",
"authorized_official_last_name": "MILLER QUINN",
"authorized_official_first_name": "WANG",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "714-878-9902"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.