Danner Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF10140 Issued in CA

Legal business name

DANNER LABORATORY INC

Practice address

5230 Carroll Canyon Rd Ste 114
San Diego, CA 92121-1779

Phone

(858) 552-1508

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Danner

Title

Ceo

Phone

(858) 552-1508

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Tanakchi, MD

  • Anatomic Pathology Physician
  • San Diego, CA
  • NPI 1164921763
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1215965967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211779",
            "telephone_number": "858-552-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNER LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-552-1508"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF10140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB58827F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "ZZZ05502Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madalyn Blaire Danielson, MD
• Michael C. Danielson, M.D.
• Anna Danilenko, DPT
• Kimberly R Danley, COTA
• Skye Lee Dannenhold
• Steven Todd Danney, D.D.S.
• Alexander Dannin, LMFT
• Danny J. Holtzclaw, DDS, a Professional Corporation
• Danny'S Home Health Care Inc.
• Flora Ishihara Danque, M.D.

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, 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 Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.