Organization
SHARP HEALTHCARE
Active
Organization
SHARP HEALTHCARE
Active
Parent organization
SHARP HEALTHCARE
Other names
Sharp Rees-Stealy Clinical Laboratory - Fir Street, Sharp Rees-Stealy Clinics Laboratory Fir Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHARP HEALTHCARE
Authorized official
MS. STACEY HROUNTAS (CEO)
(858) 262-6003
Entity
Organization
Contact information
Practice address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1543
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
(858) 499-3025
(858) 499-3020
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2056068
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00343750
CLF
CA
01
—
05D2056068
CLIA
CA
Enumeration date
04/09/2013
Last updated
02/27/2019
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