1295248193 NPI number — SIEMENS HEALTHCARE LABORATORY LLC

Table of content: (NPI 1295248193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295248193 NPI number — SIEMENS HEALTHCARE LABORATORY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SIEMENS HEALTHCARE LABORATORY 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:
Provider Other Organization Name Type Code:
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:
1295248193
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 POTTER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BERKELEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94710-2722
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-982-4200
Provider Business Mailing Address Fax Number:
510-982-4203

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 POTTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94710-2722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-982-4200
Provider Business Practice Location Address Fax Number:
510-982-4203
Provider Enumeration Date:
11/14/2017

Additional Information

Authorized Official

Authorized Official Last Name:
CRUZ
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. MANAGER
Authorized Official Telephone Number:
510-982-4080

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  05D0888918 , 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: 800007851 . This is a "291U00000X" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 733 . This is a "291U00000X" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: PFI4995 . This is a "291U00000X" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 05D0888918 . This is a "291U00000X" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: LCO00477 . This is a "291U00000X" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 023005 . This is a "291U00000X" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: HIV-RL-23 . This is a "291U00000X" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: CLF10781 . This is a "291U00000X" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com