Organization
VIBRANT AMERICA CLINICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J RAJASEKARAN (CEO)
(650) 808-5824
Entity
Organization
Contact information
Practice address
1021 HOWARD AVE, SUITE B, SAN CARLOS, CA 94070-4028
(650) 226-3381
(650) 226-3381
Mailing address
1021 HOWARD AVE, SUITE B, SAN CARLOS, CA 94070-4028
(650) 226-3381
(650) 226-3381
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 00346278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2078809
CLIA NUMBER
CA
01
—
CLF 00346278
CALIFORNIA LABORATORY LICENSE
CA
Enumeration date
06/16/2014
Last updated
06/16/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us