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BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES NPI 1508157520


NPI Information

NPI: 1508157520
Provider Name: BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES

Doing Business As: LIFESTREAM

Classification: Blood Bank - 331L00000X
Entity Type: Organization

CLIA Number: 05D1086558

Address:
384 W ORANGE SHOW RD
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 885-6503
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BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES is a blood bank in San Bernardino, CA. The provider is an institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation. BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES NPI is 1508157520. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifestream.

The provider's business location address is:

384 W ORANGE SHOW RD
SAN BERNARDINO, CA
ZIP 92408-028
Phone: (909) 885-6503
Fax: (909) 381-2036

The provider's authorized official is Frederick B Axelrod .
The authorized official title is President/ceo/medical Director and has the following contact phone number (909) 885-6503.

The CLIA number assigned to this NPI record is 05D1086558 - blood bank with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2011 and was last updated on 4/25/2011.


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 LaboratoryCLF3556CALIFORNIANo
2331L00000XBlood Bank9021CALIFORNIAYes

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
1ZZZ84738ZMEDICARE 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

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