Caredx Inc.
Organization Active NPI Clinical Medical Laboratory · Brisbane, CA
NPI 1689607384 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1689607384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 332008 (CA)
- Legal business name
- CAREDX INC.
- Practice address
- 3260 Bayshore Blvd
Brisbane, CA 94005-1021 - Phone
- (415) 287-2300
- Fax
- (415) 287-2471
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- John Hanna
- Title
- Ceo
- Phone
- (415) 287-2300
Member organizations 1
Practitioners 1
-
Judith Wilber, PH.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1029609 | Caredx, Inc | Accreditation | Jul 2, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050217000817 | CA | Part B Supplier - Independent Clinical Laboratory | 3375595358 | Practice locations: Brisbane, CA |
National Provider Directory
Locations
3260 Bayshore Blvd
Brisbane, CA 94005
Phone (415) 287-2300
750 Gateway Blvd
#H
South San Francisco, CA 94080
Phone (650) 624-0120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 332008 | CA | Yes |
Addresses
Primary practice location
3260 Bayshore Blvd
Brisbane, CA 94005-1021
Mailing address
3260 Bayshore Blvd
Brisbane, CA 94005
Phone (415) 287-2300
Other names
- XDx, Inc
Other providers in Brisbane, CA
- Michael Lee Abney
- Vilma E Andari
- Mark Jon Baker
- Marielle Celis Bolano
- Joyce Chan
- Jamie Dananberg
- Jessie Del Valle
- Deepa Dharmarajan
- Jacinta Tu-Tram Sy DO
All providers in Brisbane, CA · Clinical Medical Laboratory in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.