RENEGADE.BIO
NPI 1083237374
Clinical Medical Laboratory in Berkeley, CA

Active since May 21, 2020
829 HEINZ AVE, BERKELEY, CA 94710(415) 338-9306(415) 329-7843 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2020, May 21, 2020 (2 updates tracked since 2020).

About Renegade.bio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEGADE.BIO (NPI 1083237374) is a healthcare organization registered as a clinical medical laboratory in Berkeley, California and active in the NPI registry since May 2020. The organization lists Craig Rouskey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083237374
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameRENEGADEXBIO, PBC
Location Address829 HEINZ AVEBerkeley, CA 94710-2754
Mailing Address829 Heinz AveBerkeley, CA 94710-2754 · (415) 338-9306 · Fax (415) 329-7843
Fax(415) 329-7843
Organization SubpartNo
Authorized OfficialCraig RouskeyCeo · (415) 338-9306
Enumeration DateMay 21, 2020
Last NPPES UpdateJune 15, 20222 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
NPI 1083237374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
829 HEINZ AVE, Berkeley, CA 94710

Other Names 1

Doing Business AsRenegade.bio

Other Identifiers 2

Other05D2185960Clia
OtherCDF-90000924CA · State Id

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renegadexbio, Pbc's NPI number?

The NPI number for Renegadexbio, Pbc is 1083237374. It was assigned to this organization in the NPPES registry on May 21, 2020. The provider is doing business as Renegade.Bio.

Where is Renegadexbio, Pbc located?

Renegadexbio, Pbc is located at 829 Heinz Ave, Berkeley, CA 94710. The listed phone number is (415) 338-9306.

What is Renegadexbio, Pbc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Renegadexbio, Pbc was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.