Provider Demographics
NPI:1639683329
Name:ABBOT DIABETES CARE INC
Entity Type:Organization
Organization Name:ABBOT DIABETES CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-864-4457
Mailing Address - Street 1:1420 HARBOR BAY PARKWAY
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502
Mailing Address - Country:US
Mailing Address - Phone:510-749-5400
Mailing Address - Fax:
Practice Address - Street 1:1420 HARBOR BAY PKWY
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-7080
Practice Address - Country:US
Practice Address - Phone:510-749-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies