Provider Demographics
NPI:1366943276
Name:MAGARRAY, INC.
Entity type:Organization
Organization Name:MAGARRAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:CARBONELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-599-1018
Mailing Address - Street 1:521 COTTONWOOD DR STE 121
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7467
Mailing Address - Country:US
Mailing Address - Phone:408-599-1018
Mailing Address - Fax:
Practice Address - Street 1:521 COTTONWOOD DR STE 121
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7467
Practice Address - Country:US
Practice Address - Phone:408-599-1018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory