1982606992 NPI number — ASCEND CLINICAL, LLC

Table of content: (NPI 1982606992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982606992 NPI number — ASCEND CLINICAL, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASCEND CLINICAL, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SATELLITE LABORATORY SERVICES, LLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982606992
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 45021
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94145-0021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-780-5500
Provider Business Mailing Address Fax Number:
650-780-5545

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
435 OAKMEAD PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNNYVALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94085-4709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-780-5500
Provider Business Practice Location Address Fax Number:
650-780-5501
Provider Enumeration Date:
08/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HUNSADER
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
650-780-5505

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  CLF4141 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200423480-A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 151449901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1982606992 , issued by the state of ( VI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0029254 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200536970A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 32939700 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 85059064 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003571819 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1982606992 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2286244 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3810004055 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 706125200 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00954456A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0307025-00 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110171327A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13550 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1623032 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1982606992 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 269523 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 34239800 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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