Prometheus Laboratories Inc.

LBN: Prometheus Laboratories Inc.
Prometheus Laboratories Inc. is an health care organization with primary practice located at 9410 Carroll Park Dr , San Diego CA 92121-5201. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Prometheus Laboratories Inc. can be contacted via phone (858) 824-0895, or through Vasquez, Patricia via phone (858) 587-4128.

Contact Information

Primary practice address
9410 Carroll Park Dr San Diego CA 92121-5201
Phone: (858) 824-0895
Fax: (858) 824-0896
Website:
Map and Directions
Authorized official contact:
Name: Vasquez, Patricia
Phone: (858) 587-4128

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 05D0917432 California
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1073642641
LBN Legal business name Prometheus Laboratories Inc.
DBA Doing business as
Authorized official Vasquez, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Jun 21st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073642641 NPPES
Other ZZZ59192Z BLUE SHIELD
MEDICAID 162505709 BLUE SHIELD
MEDICAID LAB17432F BLUE SHIELD

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