Provider Demographics
NPI:1558672279
Name:NATERA, INC.
Entity Type:Organization
Organization Name:NATERA, INC.
Other - Org Name:GENE SECURITY NETWORK, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF BUSINESS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FESKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-249-9090
Mailing Address - Street 1:PO BOX 889027
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90088-9027
Mailing Address - Country:US
Mailing Address - Phone:650-249-9090
Mailing Address - Fax:650-456-2122
Practice Address - Street 1:201 INDUSTRIAL RD.
Practice Address - Street 2:SUITE 410
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-2396
Practice Address - Country:US
Practice Address - Phone:650-249-9090
Practice Address - Fax:650-362-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
CACLF00337104291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
GI234AMedicare PIN