Organization
SHARP HEALTHCARE
Active
Organization
SHARP HEALTHCARE
Active
Parent organization
SHARP HEALTHCARE
Other names
Sharp Rees-Stealy Clinical Laboratory - Scripps Ranch
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHARP HEALTHCARE
Authorized official
STACEU HROUNTAS (CEO - SHARP REES-STEALY)
(858) 262-6003
Entity
Organization
Contact information
Practice address
10670 WEXFORD ST, SAN DIEGO, CA 92131-3940
(858) 499-2777
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF336902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1079398
CLIA NUMBER
CA
01
—
BG293A
MEDICARE PTAN
CA
Enumeration date
09/17/2008
Last updated
07/26/2019
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