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SEQUENOM CENTER FOR MOLECULAR MEDICINE LLC NPI 1730481078


NPI Information

NPI: 1730481078
Provider Name: SEQUENOM CENTER FOR MOLECULAR MEDICINE LLC

Doing Business As: SEQUENOM LABORATORIES

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

CLIA Number: 05D2015356

Address:
3595 JOHN HOPKINS CT
SAN DIEGO, CA
ZIP 92121
Phone: (858) 202-9051
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SEQUENOM CENTER FOR MOLECULAR MEDICINE LLC 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. SEQUENOM CENTER FOR MOLECULAR MEDICINE LLC NPI is 1730481078. The provider is registered as an organization entity type.
The provider Is Doing Business As Sequenom Laboratories.

The provider's business location address is:

3595 JOHN HOPKINS CT
SAN DIEGO, CA
ZIP 92121-121
Phone: (858) 202-9051
Fax: (858) 408-7847

The provider's authorized official is Kimberly T Williams .
The authorized official title is Vice President and has the following contact phone number (800) 222-7566.

The CLIA number assigned to this NPI record is 05D2015356 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 7/20/2017.


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 LaboratoryCLF00339964CALIFORNIAYes

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
105D2015356OTHERCALIFORNIACLIA
2102377695-002MEDICAIDPENNSYLVANIA
34192451 01MEDICAIDMARYLAND
4LCO 00657OTHERRHODE ISLANDRHODE ISLAND CLINICAL LABORATORY LICENSE
51728OTHERMARYLANDMARYLAND MEDICAL LABORATORY PERMIT
620123744MEDICAIDNEW MEXICO
71730481078MEDICAIDCONNECTICUT
8660597MEDICAIDARIZONA
91730481078MEDICAIDIDAHO
101020915MEDICAIDVERMONT
11100022595MEDICAIDWISCONSIN
120056345MEDICAIDOHIO
13296651MEDICAIDNEW JERSEY
1430809688MEDICAIDNEW HAMPSHIRE
15032136OTHERPENNSYLVANIASTATE OF PENNSYLVANIA CLINICAL LABORATORY LICENSE
16800026127OTHERFLORIDASTATE OF FLORIDA CLINICAL LABORATORY LICENSE
173708683MEDICAIDNEW YORK
1810026203300MEDICAIDNEBRASKA
191730481078MEDICAIDMAINE
201527595MEDICAIDTENNESSEE
21PFI: 8557OTHERNEW YORKSTATE OF NEW YORK CLINICAL LABORATORY PERMIT
221730481078MEDICAIDWYOMING
231730481078MEDICAIDUTAH
24323717401MEDICAIDTEXAS
25200656570 BMEDICAIDKANSAS
267001452MEDICAIDNORTH CAROLINA
2771028300MEDICAIDDISTRICT OF COLUMBIA
28LB011CAMEDICAIDALASKA
29003115419AMEDICAIDGEORGIA
307527138OTHERCOLLEGE OF AMERICAN PATHOLOGISTS (CAP)
31CLF00339964OTHERCALIFORNIACLINICAL LABORATORY LICENSE
321730481078MEDICAIDMONTANA
33200958790 BMEDICAIDINDIANA
343810023520MEDICAIDWEST VIRGINIA
356231868MEDICAIDMISSISSIPPI
367100190660MEDICAIDKENTUCKY
37770365889-002MEDICAIDILLINOIS
381730481078MEDICAIDIOWA
391730481078MEDICAIDMICHIGAN
4092038026MEDICAIDCOLORADO
41137226MEDICAIDALABAMA
42FV093AOTHERCALIFORNIAMEDICARE PTAN
431730481078MEDICAIDMISSOURI
441730481078MEDICAIDMINNESOTA
452017818MEDICAIDWASHINGTON
462192639MEDICAIDLOUISIANA
47200311320BMEDICAIDOKLAHOMA
48L00343MEDICAIDSOUTH CAROLINA
491730481078MEDICAIDVIRGINIA
50004122500MEDICAIDFLORIDA

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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