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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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