Renegade.Bio

LBN: Renegadexbio, Pbc
Renegade.Bio is an health care organization with primary practice located at 829 Heinz Ave , Berkeley CA 94710-2754. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Renegadexbio, Pbc can be contacted via phone (415) 338-9306, or through Rouskey, Craig via phone (415) 338-9306.

Contact Information

Primary practice address
829 Heinz Ave Berkeley CA 94710-2754
Phone: (415) 338-9306
Fax: (415) 329-7843
Website:
Map and Directions
Authorized official contact:
Name: Rouskey, Craig MS
Phone: (415) 338-9306

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1083237374
LBN Legal business name Renegadexbio, Pbc
DBA Doing business as Renegade.Bio
Authorized official Rouskey, Craig MS
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2020
Last updated Jun 15th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083237374 NPPES
California Other CDF-90000924 STATE ID
California Other 05D2185960 STATE ID

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