Provider Demographics
NPI:1073146841
Name:NEPHROSANT, INC.
Entity Type:Organization
Organization Name:NEPHROSANT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF MARKET ACCESS & REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-957-5940
Mailing Address - Street 1:150 N HILL DR STE 10
Mailing Address - Street 2:
Mailing Address - City:BRISBANE
Mailing Address - State:CA
Mailing Address - Zip Code:94005-1023
Mailing Address - Country:US
Mailing Address - Phone:650-419-7620
Mailing Address - Fax:628-239-3551
Practice Address - Street 1:150 N HILL DR STE 10
Practice Address - Street 2:
Practice Address - City:BRISBANE
Practice Address - State:CA
Practice Address - Zip Code:94005-1023
Practice Address - Country:US
Practice Address - Phone:650-419-7620
Practice Address - Fax:628-239-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory