TELOMERE DIAGNOSTICS, INC. (NPI# 1083212351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083212351 |
| Entity Type | Organization |
| Organization Name | TELOMERE DIAGNOSTICS, INC. |
| Practice Address |
2688 Middlefield Rd Ste A Redwood City CA 94063-3483 |
| Mailing Address |
27 Drydock Ave Ste 3 Boston MA 02210-2382 |
| Practice Telephone | 6503690699 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | MICHAEL ROBBAT (VP AND GENERAL COUNSEL) |
| Authorized Official Telephone | 6175196626 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORIG3N, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELOMERE DIAGNOSTICS, INC. | 3603 Haven Ave # A, Menlo Park, CA 94025-1010 |
| Street Address |
2688 MIDDLEFIELD RD STE A |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003603 | Genomic Health Inc. | Clinical Medical Laboratory | 301 Penobscot Drive, Billing and Reimbursement Ops., Redwood City, CA 94063-4700 | 2006-11-28 |
| 1982606992 | Ascend Clinical, LLC | Clinical Medical Laboratory | 1400 Industrial Way, Redwood City, CA 94063-1101 | 2005-08-10 |
| 1346841178 | Lookout Health Corp. | Clinical Medical Laboratory | 570 Price Ave Ste 100, Redwood City, CA 94063-1433 | 2020-11-06 |
| 1598388530 | Teresa Bautista Hurtado | Clinical Medical Laboratory | 505 Penobscot Dr, Redwood City, CA 94063-4737 | 2020-05-26 |
| 1205239704 | Steven Shak | Clinical Medical Laboratory | 301 Penobscot Dr, Redwood City, CA 94063-4700 | 2014-09-29 |
| 1184045619 | Guardant Health, Inc. | Clinical Medical Laboratory | 505 Penobscot Dr, Redwood City, CA 94063-4737 | 2013-12-31 |
| 1770850414 | Verinata Health, Inc | Clinical Medical Laboratory | 800 Saginaw Dr, Redwood City, CA 94063-4740 | 2011-11-23 |
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| 1730787649 | Central California Testing, Inc | Clinical Medical Laboratory | 7737 Meany Ave Ste B9, Bakersfield, CA 93308-5267 | 2020-10-13 |
| 1518565514 | Clarity Mobile Venture LLC | Clinical Medical Laboratory | 651 World Way, Los Angeles, CA 90045-5815 | 2020-10-12 |
| 1588261127 | Safesite LLC | Clinical Medical Laboratory | 26660 Agoura Rd, Calabasas, CA 91302-1954 | 2020-10-07 |
| 1366049447 | Sts Lab 1 LLC | Clinical Medical Laboratory | 2302 Trade Zone Blvd Rm 100, San Jose, CA 95131-1819 | 2020-10-02 |
| 1902403926 | Innerhealth Laboratory, Inc | Clinical Medical Laboratory | 30151b Avenida De Las Bandera Ste 100, Rancho Santa Margarita, CA 92688-2114 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.