Organization
BASIS DIAGNOSTICS INC.
Active
Organization
BASIS DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREAS MATTHIAS KOGELNIK MD (CEO)
(650) 776-4703
Entity
Organization
Contact information
Practice address
2688 MIDDLEFIELD RD STE A, REDWOOD CITY, CA 94063-3483
(855) 920-4522
Mailing address
2688 MIDDLEFIELD RD STE A, REDWOOD CITY, CA 94063-3483
(855) 920-4522
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922113331
NPI
CA
Enumeration date
01/28/2021
Last updated
01/23/2024
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