Organization
CASTLE BIOSCIENCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK J MAETZOLD (CEO)
(281) 796-9032
Entity
Organization
Contact information
Practice address
3737 N 7TH ST, SUITE 160, PHOENIX, AZ 85014-5017
(281) 796-9032
(866) 431-2924
Mailing address
2014 SAN MIGUEL DR, FRIENDSWOOD, TX 77546-5913
(281) 796-9032
(866) 431-2924
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004741190001
—
KS
05
—
7100731920
—
KY
Enumeration date
10/02/2008
Last updated
03/11/2024
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