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Contact Information

AGATHOS LABORATORIES, INC.
5201 GREAT AMERICA PKWY
SUITE 320
SANTA CLARA, CA95054-1122
 Phone: 408-730-6819
 Fax: 408-562-5745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Military Clinical Medical Laboratory

291900000X B4[14] Histocompatibility Laboratory
 

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for AGATHOS LABORATORIES, INC.

NPI # 1154675742
LBN Legal business name AGATHOS LABORATORIES, INC.
Authorized official PAUL MOMOH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2012
Last updated 01/21/2014 - About 12 years ago
Identifiers
CA License # GH102230817
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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