Provider Demographics
NPI:1013605740
Name:UY, GENO CADAMO (CPT)
Entity type:Individual
Prefix:
First Name:GENO
Middle Name:CADAMO
Last Name:UY
Suffix:
Gender:M
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 FRANCESCHI DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-2651
Mailing Address - Country:US
Mailing Address - Phone:619-259-7383
Mailing Address - Fax:
Practice Address - Street 1:1474 FRANCESCHI DR
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-2651
Practice Address - Country:US
Practice Address - Phone:619-259-7383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA02136904246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy