Organization
UCSF MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LARET (COO)
(415) 476-1000
Entity
Organization
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
1635 DIVISADERO ST, STE 625, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF1540
LAB ID
CA
05
—
LAB01540F
—
CA
Enumeration date
06/13/2007
Last updated
08/22/2020
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