NPI 1003366964

Immunetech, INC

Organisation Clinical Medical Laboratory Hayward, CA

Practice location

Address: 3856 Bay Center Pl, Hayward, CA 94545-3619
Phone: (650) 312-1066
Fax: (888) 275-3505

Authorised official

Name: Lisa Elkins
Title: Chief Executive Officer
Phone: (415) 717-8064

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence CLF 11721 (CA)

Other Clinical Medical Laboratory providers in California →

Registry record

NPI: 1003366964
Entity type: Organization
NPI issued: 4 Oct 2016
Record last updated: 4 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.