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Organization

SPRINTDX LLC

Active
Other names
SPRINT DIAGNOSTICS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT EMBREE (CEO)
(800) 959-2846
Entity
Organization

Contact information

Practice address
20984 BAKE PKWY STE 106, LAKE FOREST, CA 92630-2172
(800) 959-2846
(949) 418-7287
Mailing address
20984 BAKE PKWY STE 106, LAKE FOREST, CA 92630-2172
(800) 959-2846
(949) 418-7287

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 00339427
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D2003251
CLIA
CA
Enumeration date
11/03/2014
Last updated
01/10/2025
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