Berkeley Heartlab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

023440 Issued in CA

Legal business name

BERKELEY HEARTLAB INC

Practice address

960 Atlantic Ave
Suite 100
Alameda, CA 94501-1066

Phone

(510) 747-1740

Fax

(510) 747-1924

NPI assigned

Dec 5, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Wolin

Title

Chief Compliance Officer

Phone

(650) 651-3109

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1053395996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 LITTLEFIELD AVENUE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806105",
            "telephone_number": "650-967-4500",
            "fax_number": "650-697-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ATLANTIC AVE",
            "address_2": "SUITE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011066",
            "telephone_number": "510-747-1740",
            "fax_number": "510-747-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY HEARTLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "WOLIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "650-651-3109"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "023440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica N Benway, M.A., LMFT
• Elissa Berall
• Francesca Berardi Urbini
• Piet S. Bereal, CMT
• Julie Susanne Bergen
• Angela I Bernardo
• Spencer Warren Bernatt, HIS
• Benjamin Bradley Bernstein
• Kimberly Ivy Bernstein
• Judy S. Bertelsen, M.D.

• Clinical Medical Laboratory in Alameda, CA
• Providers in Alameda, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.