Provider Demographics
NPI:1851347942
Name:SANESCO INTERNATIONAL INC.
Entity Type:Organization
Organization Name:SANESCO INTERNATIONAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KRAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-252-1045
Mailing Address - Street 1:2 TRIDENT DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-7744
Mailing Address - Country:US
Mailing Address - Phone:866-670-5705
Mailing Address - Fax:828-670-5805
Practice Address - Street 1:2 TRIDENT DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7744
Practice Address - Country:US
Practice Address - Phone:866-670-5705
Practice Address - Fax:828-670-5805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34D1054007291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory