NPIMap

Organization Active NPI

Sutter Health Shared Laboratory

  • Clinical Medical Laboratory
  • Livermore, CA
National Provider Identifier
1093953523
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF265 Issued in CA
Legal business name
SUTTER HEALTH SHARED LABORATORY
Practice address
2950 Collier Canyon Rd
Livermore, CA 94551-9224
Phone
(925) 371-3800
Fax
(925) 371-3810
NPI assigned
Jan 21, 2009
Organization subpart
Yes
Parent organization
SUTTER HEALTH SHARED LABORATORYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Ronald D Workman, M.D.
Title
Vice President
Phone
(916) 286-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF265 CA Primary

Addresses

Primary practice location

2950 Collier Canyon Rd
Livermore, CA 94551-9224

Mailing address

2950 Collier Canyon Rd
Livermore, CA 94551-9224
Phone (925) 371-3800

National Provider Directory

National Provider Directory
Tax ID family
Sutter Health Shared Laboratory2 organizations share this tax ID, including this one
Part of
Sutter Health Shared Laboratory

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1093953523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 COLLIER CANYON RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945519224",
            "telephone_number": "925-371-3800",
            "fax_number": "925-371-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLIER CANYON RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945519224",
            "telephone_number": "925-371-3800",
            "fax_number": "925-371-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER HEALTH SHARED LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER HEALTH SHARED LABORATORY",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "916-286-6731",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.