Provider Demographics
NPI:1093338717
Name:STEMEXPRESS, LLC
Entity Type:Organization
Organization Name:STEMEXPRESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATE
Authorized Official - Middle Name:
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-303-3814
Mailing Address - Street 1:1743 CREEKSIDE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3542
Mailing Address - Country:US
Mailing Address - Phone:530-303-3814
Mailing Address - Fax:
Practice Address - Street 1:1743 CREEKSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3542
Practice Address - Country:US
Practice Address - Phone:530-626-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory