Promolecular Diagnostics, LLC

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

PROMOLECULAR DIAGNOSTICS, LLC

Practice address

712 Alfred Nobel Dr
Hercules, CA 94547-1805

Phone

(106) 625-2145

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Christine Hill

Title

Director of Operations

Phone

(707) 315-3455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1730642208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471805",
            "telephone_number": "510-662-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471805",
            "telephone_number": "106-625-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOLECULAR DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "707-315-3455"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Guadalupe Perez Portillo
• Natalie Perez
• Oksana M Peters, PA
• Helaine Barbara Pleet, MD MPH
• Ramesha Powell
• Nikan Shanteya Rassooli
• Ronald Rather III
• Dyanie Reed
• Gavin Reid
• Resource Care One

• Clinical Pathology Physician in Hercules, CA
• Providers in Hercules, CA by specialty
• Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.