Altheadx, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALTHEADX, INC.

Practice address

3030 Bunker Hill St Ste 300
San Diego, CA 92109-5754

Phone

(858) 224-7200

Fax

(858) 569-0708

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

David Nikodem

Title

Ceo

Phone

(858) 224-7200

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Castle Biosciences, Inc

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1770734253

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1528490240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 BUNKER HILL ST STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095754",
            "telephone_number": "858-224-7200",
            "fax_number": "858-569-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 BUNKER HILL ST STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095754",
            "telephone_number": "858-224-7200",
            "fax_number": "858-569-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTHEADX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "NIKODEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-224-7200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY LICENSE",
            "identifier": "CLF 00337547",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL CLIA ID",
            "identifier": "05D1093224",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Altered States Research Group, Inc.
• Alternative Healing Network, Inc.
• Alternative Teaching Strategy Center
• Linda Altes, PH.D.
• Zahra Amir Althalmi
• Altignis Campus, LLC
• Carole Line Altina, LMT
• Ryan Heath Altman, L.AC.
• Nate Altmeyer
• Alto Pharmacy, LLC

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, 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 May 1, 2020; 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.