Organization
MACHAON DIAGNOSTICS, INC.
Active
Organization
MACHAON DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE PENFIELD ERO MT, CLS (LAB MANAGER)
(510) 839-5600
Entity
Organization
Contact information
Practice address
2023 EIGHTH ST, BERKELEY, CA 94710-2026
(510) 839-5600
(510) 839-6153
Mailing address
2023 EIGHTH ST, BERKELEY, CA 94710-2026
(510) 839-5600
(510) 839-6153
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1019489
CA
Other
Enumeration date
01/02/2007
Last updated
11/10/2022
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