Provider Demographics
NPI:1063799872
Name:CC HEALTH LLC
Entity type:Organization
Organization Name:CC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YOSBANI
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-486-0040
Mailing Address - Street 1:667 MADISON AVE
Mailing Address - Street 2:14TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8029
Mailing Address - Country:US
Mailing Address - Phone:212-486-0040
Mailing Address - Fax:212-319-3328
Practice Address - Street 1:1045A ANDREW DRIVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-3401
Practice Address - Country:US
Practice Address - Phone:877-701-9007
Practice Address - Fax:610-701-9007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIGNAL GENETICS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA39D1006449291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory