Organization
COMMUNITY TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT THAYER (PRESIDENT)
(650) 769-6548
Entity
Organization
Contact information
Practice address
750 STORY RD, SAN JOSE, CA 95122-2604
(408) 555-1212
Mailing address
750 STORY RD, SAN JOSE, CA 95122-2604
(650) 769-6548
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/17/2026
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