Organization
SUTTER NORTH MEDICAL FOUNDATION
Active
Other names
Sutter North Medical Foundation Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID YAMAMOTO (CHIEF EXECUTIVE OFFICER)
(530) 749-3330
Entity
Organization
Contact information
Practice address
440 PLUMAS BLVD, YUBA CITY, CA 95991-5071
(530) 749-3303
Mailing address
969 PLUMAS ST, STE 205, YUBA CITY, CA 95991-4011
(530) 749-3661
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB44214F
—
CA
Enumeration date
09/23/2006
Last updated
08/22/2020
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