Provider Demographics
NPI:1710648217
Name:SENGINE PRECISION MEDICINE, INC.
Entity Type:Organization
Organization Name:SENGINE PRECISION MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-337-8178
Mailing Address - Street 1:401 TERRY AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5263
Mailing Address - Country:US
Mailing Address - Phone:833-736-4163
Mailing Address - Fax:855-904-0072
Practice Address - Street 1:401 TERRY AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5263
Practice Address - Country:US
Practice Address - Phone:833-736-4163
Practice Address - Fax:855-904-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory