Organization Active NPI

Medea Inc

  • Clinical Medical Laboratory
  • Pleasanton, CA
National Provider Identifier
1649940719
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDEA INC
Practice address
351 Saint Mary St
Pleasanton, CA 94566-6540
Phone
(916) 769-6210
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Brandon Laidlaw
Title
Ceo and Chairman
Phone
(925) 425-9282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

351 Saint Mary St
Pleasanton, CA 94566-6540

Mailing address

351 Saint Mary St
Pleasanton, CA 94566-6540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1649940719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SAINT MARY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SAINT MARY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666540",
            "telephone_number": "916-769-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "LAIDLAW",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO AND CHAIRMAN",
        "authorized_official_telephone_number": "925-425-9282"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.