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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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