Provider Demographics
NPI:1407262272
Name:C2C DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:C2C DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-209-8753
Mailing Address - Street 1:5158 CLARETON DR
Mailing Address - Street 2:UNIT 26
Mailing Address - City:AGOURA
Mailing Address - State:CA
Mailing Address - Zip Code:91376-7001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5158 CLARETON DR
Practice Address - Street 2:UNIT 26
Practice Address - City:AGOURA
Practice Address - State:CA
Practice Address - Zip Code:91376-7001
Practice Address - Country:US
Practice Address - Phone:818-456-4683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic