NPIMap

Organization Active NPI

San Diego Laboratory Solutions

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1073903423
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2087174 Issued in CA
Legal business name
SAN DIEGO LABORATORY SOLUTIONS
Practice address
4531 36TH St
San Diego, CA 92116-3629
Phone
(858) 397-4773
NPI assigned
Jan 23, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Mr. John Barrientez
Title
Office Manager
Phone
(858) 397-4773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D2087174 CA Primary

Addresses

Primary practice location

4531 36TH St
San Diego, CA 92116-3629

Mailing address

3331 Dickens St
San Diego, CA 92106-2541

National Provider Directory

National Provider Directory
Tax ID family
JC Service and Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1073903423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 DICKENS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 36TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163629",
            "telephone_number": "858-397-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO LABORATORY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "BARRIENTEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-397-4773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2087174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.