Organization
SUTTER NORTH MEDICAL FOUNDATION
Active
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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