LIFECODE, INC
Medical Laboratory at Hatch Dr, San Mateo, CA

License number
California CLF00344435
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: CHRISTOPHER RIVEST
Title: CEO
Phone: (650) 209-8436
Address
Address
348 Hatch Dr, San Mateo, CA 94404
National Provider ID: 1033526124
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIFECODE INC

San Mateo, CA

Status:
Inactive
Industry:
Nonclassifiable Establishments, Testing Laboratory
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Aug 29, 2011
Inactive since:
Nov 7, 2014
Addresses:
950 Tower Ln SUITE 1150, San Mateo, CA 94404 (Physical)
348 Hatch Dr, San Mateo, CA 94404 (Physical)
State ID:
F13000005242
Business type:
Foreign Profit Corporation
Entity State:
DE
Director, President, Treasurers:
Todd Cozzens (Director, Chairman), 3000 Sandhill Rd, Menlo Park, CA 94025 (Physical),Warren Hogarth (Chairman, Vice President), 3000 Sandhill Rd, Menlo Park, CA 94025 (Physical),Timothy Triche (Director), 2358 N Vermont Ave, Los Angeles, CA 90027 (Physical)
2358 N.vermont Ave, Los Angeles, CA 90027 (Physical),...
Agent:
Ct Corporation System,1200 S Pne Is Rd, Fort Lauderdale, FL 33324 (Physical)
EIN:
45-2929135

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