Provider Demographics
NPI:1366720906
Name:ARIOSA DIAGNOSTICS, INC.
Entity type:Organization
Organization Name:ARIOSA DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF BUSINESS, CLIA
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-601-9274
Mailing Address - Street 1:1910 E INNOVATION PARK DR
Mailing Address - Street 2:ATTN: KATHRYN MCMEANS
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1962
Mailing Address - Country:US
Mailing Address - Phone:520-229-4282
Mailing Address - Fax:520-229-5997
Practice Address - Street 1:5945 OPTICAL COURT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138
Practice Address - Country:US
Practice Address - Phone:408-229-7500
Practice Address - Fax:408-229-7596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory