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RADY CHILDREN'S HOSPITAL RESEARCH CENTER NPI 1679103873


NPI Information

NPI: 1679103873
Provider Name: RADY CHILDREN'S HOSPITAL RESEARCH CENTER

Doing Business As: RADY CHILDREN'S INSTITUTE FOR GENOMIC MEDICINE

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

CLIA Number: 05D2129627

Address:
7910 FROST ST STE 240
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-8127
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RADY CHILDREN'S HOSPITAL RESEARCH CENTER 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. RADY CHILDREN'S HOSPITAL RESEARCH CENTER NPI is 1679103873. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rady Children's Institute For Genomic Medicine.

The provider's business location address is:

7910 FROST ST STE 240
SAN DIEGO, CA
ZIP 92123-781
Phone: (858) 966-8127

The provider's authorized official is Wendy Benson .
The authorized official title is Vp, Strategic Initiatives and has the following contact phone number (858) 966-8979.

The CLIA number assigned to this NPI record is 05D2129627 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/16/2020 and was last updated on 2/4/2020.


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
1207SG0203XMedical GeneticsClinical Molecular GeneticsNo
2291U00000XClinical Medical LaboratoryYes
3247ZC0005XPathologyClinical Laboratory Director, Non-physicianNo

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
1CDF00350522OTHERCALIFORNIACALIFORNIA DEPARTMENT OF PUBLIC HEALTH

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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