Provider Demographics
NPI: | 1780250480 |
---|---|
Name: | GYNESONICS INC |
Entity type: | Organization |
Organization Name: | GYNESONICS INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | AUTHORIZATION SPECIALIST |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | MELISA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ALLARD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CCA |
Authorized Official - Phone: | 650-207-4378 |
Mailing Address - Street 1: | 600 CHESAPEAKE DR |
Mailing Address - Street 2: | |
Mailing Address - City: | REDWOOD CITY |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 94063-4742 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 650-241-6129 |
Mailing Address - Fax: | 833-712-1521 |
Practice Address - Street 1: | 600 CHESAPEAKE DR |
Practice Address - Street 2: | |
Practice Address - City: | REDWOOD CITY |
Practice Address - State: | CA |
Practice Address - Zip Code: | 94063-4742 |
Practice Address - Country: | US |
Practice Address - Phone: | 650-241-6129 |
Practice Address - Fax: | 833-712-1521 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-06-02 |
Last Update Date: | 2021-06-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 246Y00000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Health Information | Group - Single Specialty |