Organization
PATIENT PAYMENT AGENT
Active
Other names
My Community Testing
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CLIFTON MCGINNIS (LAB DIRECTOR)
(408) 614-7182
Entity
Organization
Contact information
Practice address
750 STORY RD STE 12, SAN JOSE, CA 95122-2604
(408) 614-7182
Mailing address
750 STORY RD STE 12, SAN JOSE, CA 95122-2604
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
11/11/2024
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