Provider Demographics
NPI:1871863035
Name:CARIS SCIENCE, INC.
Entity Type:Organization
Organization Name:CARIS SCIENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:KC
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-294-5615
Mailing Address - Street 1:6655 N MACARTHUR BLVD
Mailing Address - Street 2:3RD FLOOR C/O KELLY BERMAN
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2443
Mailing Address - Country:US
Mailing Address - Phone:214-294-5558
Mailing Address - Fax:
Practice Address - Street 1:4610 SOUTH 44TH PLACE
Practice Address - Street 2:BUILDING 16
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040
Practice Address - Country:US
Practice Address - Phone:214-294-5558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIS LIFE SCIENCES, LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-05
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory