Organization
ONCOTECH INC
Active
Organization
ONCOTECH INC
Active
Other names
Exiqon Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLIG (CHIEF COMMERCIAL OFFICER)
(714) 566-0470
Entity
Organization
Contact information
Practice address
15501 RED HILL AVENUE, TUSTIN, CA 92780
(714) 566-0420
(714) 566-0471
Mailing address
15501 RED HILL AVENUE, TUSTIN, CA 92780
(714) 566-0420
(714) 566-0471
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
4785-STATE LICENSE
CA
291U00000X
Clinical Medical Laboratory
CLF 4785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00768644A
—
GA
05
—
01464390
—
PA
05
—
030483200
—
FL
05
—
0805289
—
MD
05
—
100245170A
—
KS
05
—
100384230A
—
IN
05
—
125472709
—
AK
05
—
160820
—
AZ
05
—
37903010
—
KY
05
—
4490705
—
TN
05
—
6228003
—
NJ
05
—
7001073
—
NC
05
—
7060627
—
WA
05
—
707653606
—
MO
05
—
98002652
—
CO
05
—
L00034
—
SC
05
—
LAB09008F
—
CA
05
—
X059008
—
CA
Enumeration date
08/17/2006
Last updated
02/08/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up