Provider Demographics
NPI:1003598954
Name:VOLTALUX ELECTROLOGY
Entity Type:Organization
Organization Name:VOLTALUX ELECTROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:KRAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LE
Authorized Official - Phone:510-393-3532
Mailing Address - Street 1:741 5TH ST UPPR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3019
Mailing Address - Country:US
Mailing Address - Phone:510-393-3532
Mailing Address - Fax:
Practice Address - Street 1:1941 JACKSON ST # 23
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-4600
Practice Address - Country:US
Practice Address - Phone:510-214-6436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QH0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHistologyGroup - Single Specialty