{"npi":"1083237374","type":"NPI-2","status":"active","name":{"display":"Renegadexbio, Pbc","other":[],"organization_name":"RENEGADEXBIO, PBC","authorised_official":"Craig Rouskey"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"829 HEINZ AVE","city":"BERKELEY","state":"CA","postal_code":"947102754","country_code":"US","phone":"4153389306","fax":"4153297843"},{"purpose":"MAILING","street_1":"829 HEINZ AVE","city":"BERKELEY","state":"CA","postal_code":"947102754","country_code":"US","phone":"4153389306","fax":"4153297843"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"CDF-90000924","state":"CA","issuer":"STATE ID"},{"type_code":"01","label":"Other","value":"05D2185960","state":null,"issuer":"CLIA"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-05-21","last_updated":"2022-06-15","_meta":{"source":"NPPES","snapshot_date":"2022-06-15","doc_url":"https://findmynpi.com/api"}}