Provider Demographics
NPI:1912628454
Name:PREDICINE, INC.
Entity Type:Organization
Organization Name:PREDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF REVENUE CYLE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNGWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-589-4515
Mailing Address - Street 1:3555 ARDEN RD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-3922
Mailing Address - Country:US
Mailing Address - Phone:650-300-2188
Mailing Address - Fax:
Practice Address - Street 1:1314 N PLUM GROVE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4546
Practice Address - Country:US
Practice Address - Phone:312-210-0004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREDICINE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory