Organization
SIEMENS HEALTHCARE LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CRUZ (SR. MANAGER)
(510) 982-4080
Entity
Organization
Contact information
Practice address
725 POTTER ST, BERKELEY, CA 94710-2722
(510) 982-4200
(510) 982-4203
Mailing address
725 POTTER ST, BERKELEY, CA 94710-2722
(510) 982-4200
(510) 982-4203
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0888918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023005
291U00000X
PA
01
—
05D0888918
291U00000X
CA
01
—
733
291U00000X
MD
01
—
800007851
291U00000X
FL
01
—
CLF10781
291U00000X
CA
01
—
HIV-RL-23
291U00000X
WV
01
—
LCO00477
291U00000X
RI
01
—
PFI4995
291U00000X
NY
Enumeration date
11/14/2017
Last updated
11/14/2017
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