Scantibodies Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 11679 Issued in CA

Legal business name

SCANTIBODIES CLINICAL LABORATORY INC

Practice address

9236 Abraham Way
Santee, CA 92071-5611

Phone

(619) 258-2731

Fax

(619) 258-2806

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Allen Garrett

Title

Cfo

Phone

(866) 249-1212

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366446718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9236 ABRAHAM WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715611",
            "telephone_number": "619-258-2731",
            "fax_number": "619-258-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9236 ABRAHAM WAY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715611",
            "telephone_number": "619-258-2731",
            "fax_number": "619-258-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCANTIBODIES CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "866-249-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF SANTEE BUSINESS L",
            "identifier": "10749",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB ID NUMBER",
            "identifier": "CLF 11679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliet Sapida, REGISTERED NURSE
• Marilou Saradpon
• Kathrina Sarmiento, D.D.S.
• Tawny Rochelle Sauriol, MD
• Lynne M. Scannell, M.D.
• Karla Schafer
• Robin Lynn Schaffer, LVN
• Ronald Wayne Schisler, OPTOMETRIST
• Rachel Ann Schlusselberg, SLPA
• Bruce Lee Schuler, R.N. LICENSE

• All providers in Santee, CA
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.