Applied Clinical Research

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 4838 Issued in CA

Legal business name

APPLIED CLINICAL RESEARCH

Doing business as

San Diego Reference Laboratory

Practice address

6565 Nancy Ridge Dr
San Diego, CA 92121

Phone

(858) 677-7970

Fax

(858) 677-7998

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph E Graas, PHD

Title

President - Ceo

Phone

(858) 677-7970

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• San Diego Reference Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1386708816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212251",
            "telephone_number": "858-677-7970",
            "fax_number": "858-677-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-677-7970",
            "fax_number": "858-677-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED CLINICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "858-677-7970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 4838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32942000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001273",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB42965G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Diego Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Michael Appleget, CRNA
• Esperanza Applestein, LMFT
• Jeffrey M. Applestein, M.D.
• Shannon Appleton
• Evelyn Jacqueline Applewhite
• Applied Interventions & Methodologies, Inc.
• Applied Proteomics, Inc.
• Applied Psychology Systems, L.L.C.
• Malia Appling, RDN
• Merveen Appu, 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 Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.