Provider Type Icon

UNIVERSITY OF SOUTHERN CALIFORNIA NPI 1568595684


NPI Information

NPI: 1568595684
Provider Name: UNIVERSITY OF SOUTHERN CALIFORNIA

Doing Business As: USC BREAST CANCER ANALYSIS LABORATORY

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 05D0684670

Address:
1441 EASTLAKE AVENUE
ROOM 5409
LOS ANGELES, CA
ZIP 90033
Phone: (323) 865-0563
Get Directions

UNIVERSITY OF SOUTHERN CALIFORNIA is a clinical medical laboratory in Los Angeles, CA. The provider is (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. UNIVERSITY OF SOUTHERN CALIFORNIA NPI is 1568595684. The provider is registered as an organization entity type.
The provider Is Doing Business As Usc Breast Cancer Analysis Laboratory.

The provider's business location address is:

1441 EASTLAKE AVENUE
ROOM 5409
LOS ANGELES, CA
ZIP 90033
Phone: (323) 865-0563
Fax: (323) 865-0122

The provider's authorized official is Todd Dickey .
The authorized official title is Sr Vp - Administration and has the following contact phone number (213) 740-8184.

The CLIA number assigned to this NPI record is 05D0684670 - other - university medical center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 9/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory05D0684670CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CLF315998OTHERCALIFORNIASTATE
2690000015OTHERCALIFORNIAMEDICARE RAILROAD
3W7801BOTHERCALIFORNIAMEDICARE CODE
4ZZZ09704ZOTHERCALIFORNIABLUE SHIELD CODE
5LAB84670FMEDICAIDCALIFORNIA
605D0684670OTHERCALIFORNIAMEDICARE ID - UNSPECIFIED
705D0684670MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.