Provider Demographics
NPI:1790004273
Name:NCNDIAGNOSTICS, INC
Entity Type:Organization
Organization Name:NCNDIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-469-3987
Mailing Address - Street 1:3050 FITE CIR
Mailing Address - Street 2:SUITE 113
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1806
Mailing Address - Country:US
Mailing Address - Phone:916-469-3987
Mailing Address - Fax:
Practice Address - Street 1:3050 FITE CIR
Practice Address - Street 2:SUITE 113
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1806
Practice Address - Country:US
Practice Address - Phone:916-469-3987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty