Provider Demographics
NPI:1790320380
Name:STRATA ONCOLOGY, INC.
Entity Type:Organization
Organization Name:STRATA ONCOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER & LAB DIR.
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOMLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:734-527-1000
Mailing Address - Street 1:8170 JACKSON RD STE A
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9100
Mailing Address - Country:US
Mailing Address - Phone:734-527-1000
Mailing Address - Fax:734-661-1958
Practice Address - Street 1:8170 JACKSON RD STE A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9100
Practice Address - Country:US
Practice Address - Phone:734-527-1000
Practice Address - Fax:734-661-1958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation