Organization
SPECTRA LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS JOHNSON (GENERAL MANAGER VP OPERATIONS)
(408) 526-3200
Entity
Organization
Contact information
Practice address
525 SYCAMORE DRIVE, MILPITAS, CA 95035-7429
(408) 526-3200
(408) 526-3747
Mailing address
PO BOX 360790, MILPITAS, CA 95036-0790
(408) 526-3200
(408) 526-3747
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF3259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000594060
—
AL
05
—
00305247A
—
GA
05
—
003099018
—
CT
05
—
0034655
—
ID
05
—
0441970
—
DC
05
—
067703
—
AZ
05
—
090418000
—
FL
05
—
117941709
—
AK
05
—
98001761
—
CO
05
—
LB259CA
—
AS
05
—
ZZZ59406Z
—
CA
Enumeration date
06/02/2005
Last updated
07/28/2020
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