Provider Demographics
NPI:1508533076
Name:THE KIT COMPANY, INC
Entity Type:Organization
Organization Name:THE KIT COMPANY, INC
Other - Org Name:THE KIT COMPANY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-885-4975
Mailing Address - Street 1:953 INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-3007
Mailing Address - Country:US
Mailing Address - Phone:415-885-4975
Mailing Address - Fax:415-520-0730
Practice Address - Street 1:953 INDIANA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-3007
Practice Address - Country:US
Practice Address - Phone:415-885-4975
Practice Address - Fax:415-520-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATINOtherTAX ID