Siemens Healthcare Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D0888918 Issued in CA

Legal business name

SIEMENS HEALTHCARE LABORATORY LLC

Practice address

725 Potter St
Berkeley, CA 94710-2722

Phone

(510) 982-4200

Fax

(510) 982-4203

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Sandra Cruz

Title

Sr. Manager

Phone

(510) 982-4080

Specialties & licenses 1

Addresses

Other identifiers 8

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1295248193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 POTTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102722",
            "telephone_number": "510-982-4200",
            "fax_number": "510-982-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 POTTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102722",
            "telephone_number": "510-982-4200",
            "fax_number": "510-982-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEMENS HEALTHCARE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SR. MANAGER",
        "authorized_official_telephone_number": "510-982-4080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0888918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "800007851",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "733",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "PFI4995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "05D0888918",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "LCO00477",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "023005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "HIV-RL-23",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "291U00000X",
            "identifier": "CLF10781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Sickenius, PH.D.
• Alexandra Joy Sideroff, LMFT, LMHC
• Alan B Siegel, PH.D.
• Leni H. Siegel, LICENSED MARRIAGE
• Siemens Clinical Laboratory
• Stephen Eric Sienknecht, PSY.D.
• Allison Sih, M.D.
• Silent Hills Family Therapist Corporatiom
• Dylan Eliyahu Sills
• Michael Silpa, M.D.

• Clinical Medical Laboratory in Berkeley, CA
• Providers in Berkeley, 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 14, 2017; 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.