Organization Active NPI

Kokua Toxicology, LLC

  • Clinical Medical Laboratory
  • Hayward, CA
National Provider Identifier
1578824082
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KOKUA TOXICOLOGY, LLC
Practice address
1558 B St Ste 100
Hayward, CA 94541-3053
Phone
(510) 581-7796
Fax
(510) 581-6240
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Amy N Rader
Title
Toxicology Department
Phone
(510) 856-4351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1558 B St Ste 100
Hayward, CA 94541-3053

Mailing address

111 Hekili St # A2302
Kailua, HI 96734-2800

National Provider Directory

National Provider Directory

Locations

111 Hekili St
#A2302
Kailua, HI 96734

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1578824082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST # A2302",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 B ST STE 100",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413053",
            "telephone_number": "510-581-7796",
            "fax_number": "510-581-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKUA TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "TOXICOLOGY DEPARTMENT",
        "authorized_official_telephone_number": "510-856-4351"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.