NPIMap

Organization Active NPI

STS Lab 1 LLC

  • Clinical Medical Laboratory
  • San Jose, CA
National Provider Identifier
1366049447
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STS LAB 1 LLC
Practice address
2302 Trade Zone Blvd RM 100
San Jose, CA 95131-1819
Phone
(269) 697-3918
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Jasmin Farsi
Title
Manager, President
Phone
(408) 838-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2302 Trade Zone Blvd RM 100
San Jose, CA 95131-1819

Mailing address

2302 Trade Zone Blvd RM 100
San Jose, CA 95131-1819
Phone (269) 697-3918

National Provider Directory

National Provider Directory

Locations

2302 Trade Zone Blvd
Rm 100
San Jose, CA 95131
Phone (269) 697-3918

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1366049447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 TRADE ZONE BLVD RM 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311819",
            "telephone_number": "269-697-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 TRADE ZONE BLVD RM 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311819",
            "telephone_number": "269-697-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STS LAB 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "FARSI",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "MANAGER, PRESIDENT",
        "authorized_official_telephone_number": "408-838-3222"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 2, 2020; 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.