Organization Active NPI

Shield Diagnostics Corp.

  • Clinical Medical Laboratory
  • San Jose, CA
National Provider Identifier
1124500137
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHIELD DIAGNOSTICS CORP.
Practice address
2865 Zanker Rd
San Jose, CA 95134-2101
Phone
(669) 201-0321
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Mr. Frederick Edward Turner
Title
Ceo
Phone
(650) 713-8928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2865 Zanker Rd
San Jose, CA 95134-2101

Mailing address

2865 Zanker Rd
San Jose, CA 95134-2101
Phone (669) 201-0321

Other names 1

  • TL Biolabs Corp. Former legal business name

National Provider Directory

National Provider Directory

Locations

2865 Zanker Rd
San Jose, CA 95134
Phone (669) 201-0321

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1124500137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ZANKER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342101",
            "telephone_number": "669-201-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ZANKER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342101",
            "telephone_number": "669-201-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD DIAGNOSTICS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-713-8928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TL Biolabs Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.