1609278878 NPI number — SISTEMAS GENOMICOS SL

Table of content: (NPI 1609278878)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609278878 NPI number — SISTEMAS GENOMICOS SL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SISTEMAS GENOMICOS SL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609278878
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 DERVOCK CRESCENT
Provider Second Line Business Mailing Address:
# 312
Provider Business Mailing Address City Name:
TORONTO
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
M2K1A6
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
647-471-1328
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RONDA G. MARCONI, 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PATERNA
Provider Business Practice Location Address State Name:
VALENCIA
Provider Business Practice Location Address Postal Code:
46980
Provider Business Practice Location Address Country Code:
ES
Provider Business Practice Location Address Telephone Number:
34961366150
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GARCIA ALFONSO
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
BUSINESS DEVELOPMENT
Authorized Official Telephone Number:
647-471-1328

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  99D2077066 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)