OrganizationActive
Intracellular Diagnostics, Inc
NPI 1043366933 · Clinical Medical Laboratory · Medford, OR
Provider details
- NPI number
- 1043366933
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Burton Silver, Laboratory Director(541) 245-3212
- License
- 05D0643971 (OR)
Specialties & taxonomies
Laboratories
Practice location
945 Town Centre Dr
Suite a
Medford, OR 97504-6190
Phone: (541) 245-3212
Approximate (ZIP-level) locationGet directions
Mailing address
945 Town Centre Dr
Medford, OR 97504-6190
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2014-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.