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PROMETHEUS LABORATORIES INC. NPI 1073642641


NPI Information

NPI: 1073642641
Provider Name: PROMETHEUS LABORATORIES INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 05D0917432

Address:
9410 CARROLL PARK DR
SAN DIEGO, CA
ZIP 92121
Phone: (858) 824-0895
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PROMETHEUS LABORATORIES INC. is a clinical medical laboratory in San Diego, 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. PROMETHEUS LABORATORIES INC. NPI is 1073642641. The provider is registered as an organization entity type.

The provider's business location address is:

9410 CARROLL PARK DR
SAN DIEGO, CA
ZIP 92121-201
Phone: (858) 824-0895
Fax: (858) 824-0896

The provider's authorized official is Patricia Vasquez .
The authorized official title is Svp, Commercial And Corp. Developme and has the following contact phone number (858) 587-4128.

The CLIA number assigned to this NPI record is 05D0917432 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 6/21/2023.


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 LaboratoryNo
2291U00000XClinical Medical Laboratory05D0917432CALIFORNIAYes

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
1ZZZ59192ZOTHERBLUE SHIELD
2162505709MEDICAIDARKANSAS
3LAB17432FMEDICAIDCALIFORNIA

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

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